【摘要】 目的探讨颞肌部分切除在重型额颞顶部颅脑损伤患者治疗中的应用效果。方法选取本院2010年1月～2012年9月收治的80例重型额颞顶部颅脑损伤患者,随机将患者分为颞肌部分切除联合标准外伤去大骨瓣减压术治疗组(观察组)和标准去骨瓣减压术治疗组(对照组),每组各40例,采用Jennett和Bondy预后标准对临床疗效进行评价。结果观察组患者经颞肌部分切除联合标准外伤去大骨瓣减压术治疗后预后情况较好,并发症较少。观察组临床疗效优良率为85.0%,显著高于对照组的67.5%,组间差异有统计学意义(P<0.05);观察组患者术后颞肌厚度为(0.08±0.02)cm,显著低于对照组的(1.27±0.64)cm,组间差异有统计学意义(P<0.05);观察组患者术后并发症发生率为10.0%,显著低于对照组的30.0%,组间差异有统计学意义(P<0.05)。结论采用颞肌部分切除联合标准外伤去大骨瓣减压术治疗额颞部颅脑损伤临床疗效确切,值得临床进一步推广使用。更多还原

【Abstract】 Objective To explore the application effects of temporalis muscle partial resection in the heavy frontotemporal top of head injury patients. Methods Eighty cases of heavy frontotemporal top of head injury patients in our hospital from January 2010 to September 2012 were selected and randomly divided into temporalis muscle resection in combination with standard trauma to hemicraniectomy treatment group (observation group) and standard decompressive craniectomy treatment group (control group), each group contained 40 cases. The clinical effects of these two groups were evaluated with Jennett and the Bondy prognosis standards. Results The patients with partial resection of the temporalis muscle joint standard trauma go hemicraniectomy better prognosis after treatment, fewer complications. The clinical efficacy of observation group was 85.0%, significantly higher than 67.5% of the control group, with statistically significant differences between the two groups (P < 0.05); The temporalis muscle thickness of observation group was (0.08±0.02) cm, significantly lower than (1.27±0.64) cm of control group, the difference between the groups was statistically significant (P < 0.05); The postoperative complication rate of observation group was 10.0%, significantly lower than the 30.0% of the patients in the control group, the group difference was statistically significant (P < 0.05). Conclusion The temporalis muscle resection in combination with standard trauma to hemicraniectomy treatment has accurate effects to the heavy frontotemproal top of head injury patients, and is worthy of clinical promotion and applications.更多还原