【摘要】 目的探讨去骨瓣减压开颅术治疗双侧颅脑损伤的临床效果。方法选取2012年7月～2017年12月我院收治的40例双侧颅脑损伤患者作为研究对象,按照随机数字表法将其分为研究组(20例)和对照组(20例)。研究组患者采用去骨瓣减压治疗,对照组患者则采用单侧标准外伤大骨瓣减压法治疗。比较两组患者的治疗效果及术后并发症(急性脑膨出、切口疝)发生率。结果研究组患者的治疗总有效率为80.00%,高于对照组的60.00%,差异有统计学意义(P<0.05)。研究组患者急性脑膨出、切口疝等术后并发症的发生率为20.00%,低于对照组的55.00%,差异有统计学意义(P<0.05)。结论应用去骨瓣减压术治疗双侧颅脑损伤的效果显著,能够提高临床治疗有效率,减少急性脑膨出和切口疝等相关并发症的发生率,有效改善患者预后,值得临床应用。更多还原

【Abstract】 Objective To investigate the clinical effect of decompression and craniotomy for bilateral craniocerebral injury. Methods From July 2012 to December 2017, 40 patients with bilateral craniocerebral injury were selected as the study objects. They were divided into study group(20 cases) and control group(20 cases) according to random number table method. The patients in the study group were treated with decompression of bone flap, while the patients in the control group were treated with unilateral standard large bone flap decompression. The treatment effect and the incidence of postoperative complications(acute encephalocele and incisional hernia) were compared between the two groups. Results The total effective rate of the study group was 80.00%, which was higher than that of the control group(60.00%), the differences were statistically significant(P<0.05). The incidence of postoperative complications, such as acute encephalocele and incisional hernia, which was 20.00% in the study group, lower than that in the control group(55.00%), the differences were statistically significant(P<0.05). Conclusion The treatment of bilateral craniocerebral injury with deossed-bone flap decompression is effective in improving the effective rate of clinical treatment, reducing the incidence of acute encephalocele and incisional hernia, and improving the prognosis of the patients, which is worthy of clinical application.更多还原