【摘要】 目的分析双额大骨瓣减压术治疗脑外伤后难治性弥漫性脑肿胀的GOS评分及并发症。方法选取2005年12月至2015年4月我院收治的98例脑外伤后难治性弥漫性脑肿胀患者,依据治疗方式不同分为研究组(49例)与对照组(49例)。对照组行标准大骨瓣减压术,研究组行双额大骨瓣减压术。对比两组的相关临床指标、 GOS评分及并发症情况。结果研究组的骨窗面积大于对照组,出血量及颅内血压低于对照组(P均<0.05)。研究组的GOS评分优于对照组,各项并发症发生率低于对照组(P均<0.05)。结论脑外伤后难治性弥漫性脑肿胀患者行双额大骨瓣减压术可降低颅内血压,提高临床疗效,并减少并发症的发生,值得临床推广应用。更多还原

【Abstract】 Objective To analyze the GOS scores and complications of bifrontal decompressive craniectomy in the treatment of refractory diffuse brain swelling after brain trauma. Methods 98 patients with refractory diffuse brain swelling after brain trauma admitted to our hospital from December 2005 to April 2015 were selected and divided into study group(49 cases) and control group(49 cases)according to the different treatment methods. The control group received standard decompressive craniectomy, and the study group received bifrontal decompressive craniectomy. The related clinical indicators, GOS scores and complications were compared between the two groups.Results The bone window area of the study group was larger than that of the control group, and the blood loss and intracranial blood pressure were lower than those of the control group(all P <0.05). The GOS score of the study group was better than that of the control group,and the incidences of complications were lower than those of the control group(all P <0.05). Conclusions Bifrontal decompressive craniectomy in the treatment of patients with refractory diffuse brain swelling after brain trauma can reduce the intracranial blood pressure,improve the clinical efficiency, and reduce the complications, which is worthy of clinical promotion and application.更多还原