摘要
目的:探讨重型颅脑损伤术中急性脑膨出中双侧开颅去骨瓣减压术在治疗中应用。方法:28例重型颅脑损伤患者手术治疗中出现急性脑膨出,15例行一侧标准大骨瓣开颅减压术(单侧组),13例行双侧开颅去骨瓣减压术(双侧组),比较两组治疗和预后情况。结果:两组患者术后发生脑积水和脑梗塞差异无显著性,但单侧组术后切口疝发生高于双侧组;术后3个月按GOS评分单侧组低于双侧组;术后两组生存状况比较,单侧组良好及中残率显著低于双侧组(P<0.05)。结论:重型颅脑损伤患者手术治疗中出现急性脑膨出时可考虑双侧开颅去骨瓣减压术以改善预后。
Objective：To explore the application of bilateral decompression eraniotomy treatment in severe head injury of acute intraoperative encephaloeele. Method： 28 cases of severe head injury patients with intraoperative acute encephaloeele were surgical treatment, 15 cases underwent single side standard big bone flap craniotomy decompres- sion （unilateral group）, 13 cases underwent bilateral to bone flap eraniotomy decompression （bilateral group）.Results ： There was no significant difference between postoperative hydrocephalus and cerebral infarction, but unilateral group of postoperative incision hernia was higher than bilateral group; According to GOS prognosis scoring in postoperative 3 months, unilateral group was lower than that in bilateral group; Unilateral group of good and the residual rate was sig- nificantly lower than bilateral group in postoperative survival condition（P〈0.05）. Conclusion：Bilateral bone flap cran- iotomy decompression is effective method to surgical treatment for severe head injury patients in acute encephaloeele, which can improve the prognosis.
出处
《安徽卫生职业技术学院学报》
2013年第5期24-25,共2页
Journal of Anhui Health Vocational & Technical College
关键词
去骨瓣减压术
重型颅脑损伤
急性脑膨出
Decompressive craniectomy Severe head injury,Acute bilateral encephalocele
