摘要
目的:评估去骨瓣减压术对重度颅脑损伤患者的治疗作用。方法:回顾性地研究了接受去骨瓣减压术的52名患者在去骨瓣减压前后颅内压、CT表现(中线移位,脑室的大小,基底池受压)和预后的变化。结果:38名患者(73.1%)在伤后5.1±3.2个小时进行了迅速外科减压;14名患者(26.9%)在伤后49.2±50.1个小时延迟外科减压,去骨瓣减压明显降低了颅内压,减少了中线移位,改善了基底池的受压,进行迅速外科减压的患者比延迟外科减压的患者预后更好。结论:去骨瓣减压术使重度颅脑损伤患者颅内压降低,中线移位和基底池受压明显改善,死亡率下降,对改善患者的预后有利。
Objective To assess the beneficial effect of decompressive craniectomy in the treatment of severe traumatic brain injury patients.Methods investigated 52 patients who underwent decompressive craniectomy.Intracranial pressure,cranial computed tomographic scan features（midline shift,visibility of ventricles,and basal cisterns） and outcome were evaluated before and after craniectomy.Results 38 patients（73.1%） underwent rapid surgical decompression within 5.1±3.2 hours after trauma;in 14 patients（26.9%）,delayed surgical decompression was performed 49.2±50.1 hours after injury.Decompressive craniectomy significantly decreased intracranial pressure,decreased midline shift,and improved visibility of the basal cisterns.Patients who underwent rapid surgical decompression had a significantly better outcome than patients who underwent delayed surgical decompression.Conclusions Decompressive craniectomy should have a beneficial effect on severe traumatic brain injury patients outcome.
出处
《宜春学院学报》
2009年第6期134-136,共3页
Journal of Yichun University
关键词
重度颅脑损伤
去骨瓣减压术
颅内压
CT
预后
decompressive craniectomy
severe traumatic brain injury
intracranial pressure
computed tomography
outcome
