【摘要】 目的 探讨标准大骨瓣开颅血肿清除术治疗重型颅脑创伤侧裂区损伤的临床效果。方法 选取2015年6月—2017年6月深圳市南山区人民医院收治的重型颅脑创伤侧裂区损伤患者80例,根据手术方式的不同分为标准组46例(标准大骨瓣开颅清除术)和常规组34例(常规大骨瓣开颅清除术)。结果 总有效率标准组95.65%、常规组67.65%,差异有统计学意义(χ~2=6.58,P=0.01)。并发症总发生率标准组8.70%、常规组26.47%,差异有统计学意义(χ~2=4.54,P=0.03)。结论 标准大骨瓣开颅血肿清除术治疗重型颅脑创伤侧裂区损伤,可提高疗效,降低相关并发症发生率,值得推广使用。更多还原

【Abstract】 Objective To discuss the clinical effect of evacuation of hematoma with standard large bone-flap craniotomy in the treatment of lateral fissure area damage of severe traumatic brain injury. Methods A total of80 patients with lateral fissure area damage of severe traumatic brain injury were collected in Shenzhen Nan-shan Hospital from Jun 2015 to Jun 2017, and were randomly divided into standard group(46 cases, standard large boneflap craniotomy treatment) and conventional group(34 cases, conventional large bone-flap craniotomy treatment)according to the operation method. Results The total effective rate in standard group was significantly higher than the conventional group(95.65% vs 67.65%, χ~2=6.58, P<0.05). The total incidence of complication in the standard group was significantly lower than the conventional group(8.70% vs 26.47%, χ~2=4.54, P<0.05). Conclusion The evacuation of hematoma by standard large bone-flap craniotomy could improve the clinical efficacy and reduce the rate of complications, which is worth popularizing.更多还原