【摘要】 目的探讨重度颅脑损伤采用单侧标准大骨瓣减压术治疗的临床效果。方法随机选择2018年1月—2020年1月该院接收的127例重度颅脑损伤患者,根据手术类型差异分成两组,对照组(n=60)采用常规骨瓣减压术治疗,研究组(n=67)采用单侧标准大骨瓣减压术治疗。比较两组术后GOS评分、并发症发生率和恢复效果。结果研究组术后GOS评分(4.45±0.68)分高于对照组(3.76±1.04)分,差异有统计学意义(t=4.469,P<0.05);研究组术后并发症总发生率8.96%低于对照组31.67%,差异有统计学意义(χ~2=10.327,P<0.05);研究组术后总康复率92.54%高于对照组80.00%,差异有统计学意义(χ~2=4.291,P<0.05)。结论单侧标准大骨瓣减压术应用于重度颅脑损伤患者中效果显著,能减少术后并发症,改善临床预后。更多还原

【Abstract】 Objective To investigate the clinical effect of unilateral standard large bone craniectomy for severe head injury.Methods 127 patients with severe head injury received in the hospital from January 2018 to January 2020 were conveniently selected and divided into two groups according to the difference in operation types. The control group(n=60)was treated with conventional bone craniectomy, and the study group(n =67) was treated with unilateral standard large craniectomy. The GOS score, complication rate and recovery effect were compared between the two groups. Results The postoperative GOS score(4.45±0.68)points of the study group was higher than that of the control group(3.76±1.04)points,the difference was statistically significant(t=4.469, P<0.05); the total incidence of postoperative complications in the study group was 8.96% lower than the control group 31.67%, the difference was statistically significant(χ~2=10.327, P<0.05); the total postoperative recovery rate of the study group was 92.54% higher than the control group 80.00%, the difference was statistically significant(χ~2=4.291, P<0.05). Conclusion Unilateral standard large bone craniectomy is effective in patients with severe craniocerebral injury. It can reduce postoperative complications and improve clinical prognosis.更多还原