摘要
目的 探讨不同手术入路治疗双侧额叶脑挫裂伤伴颅内血肿的临床疗效.方法 选取沈丘县人民医院在2009年3月至2013年3月收治的双侧额叶脑挫裂伤伴颅内血肿患者126例,按照手术入路方式不同分为观察组和对照组,每组63例.观察组行单侧开颅术,对照组行双侧开颅术.比较两组患者的手术疗效及预后情况.结果 观察组手术时间、住院时间、术中出血量等指标均显著低于对照组（t=7.3281、32.1863、49.2083,P均＜0.01）;嗅觉神经损伤及精神障碍发生率均显著低于对照组,两组比较差异有统计学意义（χ^2=14.3619、14.3619,P均＜0.01）;出院6个月后根据GOS评分表评定预后良好率,观察组明显多于对照组,两组比较差异有统计学意义（χ^2 =6.9384,P＜0.01）.结论 双侧额叶脑挫裂伤伴颅内血肿患者行单侧开颅术可以有效缩短手术时间,减少术中出血量,安全系数高,颅内血肿清除率高,并能有效减轻颅内高压,改善患者预后,值得在临床推广应用.
Objective To investigate the clinical value of different kinds of operation approach on bilateral frontal brain contusion and laceration with intracranial hematoma.Methods From March 2009 to March 2013,126 patients of bilateral frontal brain contusion and laceration with intracranial hematoma who got medical treatment in the People＇s Hospital of Shenqiu,were divided randomly into observation group and control group,each group had 63 cases.Patients in observation group were cured with unilateral craniotomy,while patients in control group were cured with bilateral craniotomy.Then the curative effect indexes and prognosis of these two groups were compared.Results After treatment,the indexes of operation time,hospitalization time and blood loss in observation group were significantly lower than those in control group（t =7.3281,32.1863,49.2083,each P 〈 0.01）,simultaneously,the rate of olfactory never disorder,mental disorder in observation group were markedly less than control group （χ^2 =14.3619,14.3619,each P 〈 0.01）.According to Glasgow outcome scale （GOS） score of six-month observation after hospitalization,the occurrence rate of good recovery in observation group were markedly higher than that in control group （χ^2 =6.9384,P 〈 0.01）.Conclusions Unilateral craniotomy is an effective method to treat patients with bilateral frontal brain contusion with intracranial hemotoma.It can reduce the operative time and decrease bleeding volume,has high safety coefficient and intracranial hematoma clearance rate,to reduce intracranial pressure effectively,improve the prognosis,and is worthy of clinical application.
出处
《中国实用医刊》
2015年第10期44-46,共3页
Chinese Journal of Practical Medicine
关键词
双侧额叶脑挫裂伤
单侧开颅术
双侧开颅术
颅内血肿
疗效
Bilateral frontal brain contusion
Unilateral craniotomy
Bilateral craniotomy
Intracranial hematoma
Effect
