论文部分内容阅读
目的观察小脑幕切开术配合大骨瓣减压治疗重型颅脑损伤的治疗效果。方法重型颅脑损伤患者28例,分为两组。观察组(n=13)采用小脑幕切开术配合大骨瓣减压治疗,对照组(n=15)单纯采用大骨瓣减压治疗,对比两组治疗效果。结果经过治疗,观察组良好率(69.23%)与对照组(26.67%)相比明显较高,GCS评分提高明显,两组治疗效果差异有统计学意义(P<0.05)。结论小脑幕切开术配合大骨瓣减压治疗重型颅脑损伤有利于患者脑功能及早改善,效果明显,预后良好,值得临床广泛应用。
Objective To observe the treatment of severe craniocerebral injury with cerebellar incision and decompression of large bone flap. Methods 28 patients with severe craniocerebral injury were divided into two groups. The observation group (n = 13) was treated with cerebellar incision combined with decompressive craniectomy. The control group (n = 15) was treated with decompressive craniectomy alone. The therapeutic effect was compared between the two groups. Results After treatment, the good rate (69.23%) in the observation group was significantly higher than that in the control group (26.67%), and the GCS score improved significantly. The difference between the two groups was statistically significant (P <0.05). Conclusion The treatment of severe craniocerebral injury with cerebellar subtotal incision and decompressive craniectomy is beneficial to the early improvement of brain function in patients with obvious effect and good prognosis, which is worth widely clinical application.