双侧平衡去骨瓣治疗重症闭合性颅脑损伤的临床效果分析

摘要

Objective To explore the bilateral balance decompressive craniectomy in treatment of severe closed craniocerebral in-jury effect. Craniocerebral severe closed Methods 92 patients with severe closed craniocerebral injury admitted to our hospital from January 2006 to June 2014 were divided into study group (n=46) and reference group (n=46),respectively receiving bilateral balance decompressive craniectomy and unilateral standard trauma big bone flap decompression. Intracranial pressure before and after the operation of the two groups was investigated; the effect and complications were compared between the two groups . Re-sults After treatment, intracranial pressure of two groups was lower that before treatment (P<0.05), but intracranial pressure in the study group was significantly lower than that in the reference group, the difference was statistically significant (P<0.05); the com-plications of study group was significantly less than of the reference group (P<0.05), and the total effective rate (84.78%) of the study group was higher than that of the reference group (54.35%) (P<0.05). Conclusion The clinical effect of bilateral balance de-compressive craniectomy in the treatment of severe closed craniocerebral injury patients is remarnable, so it is worthy of promo-tion.%目的：探讨双侧平衡去骨瓣减压治疗重症闭合性颅脑损伤的效果。方法择取2006年1月-2014年6月该院收治的重症闭合性颅脑损伤患者92例，按其治疗方法的不同分为为研究组（双侧平衡去骨瓣减压术）和参照组（单侧标准外伤大骨瓣减压术）各46例，分析两组治疗前后颅内压的变化情况，并比较其临床疗效及并发症情况。结果治疗后，两组的颅内压均较治疗前低（P<0.05），但研究组的颅内压明显低于参照组，差异有统计学意义（P<0.05）；研究组并发症明显少于参照组（P<0.05），且其总有效率（84.78%）较参照组（54.35%）高（P<0.05）。结论双侧平衡去骨瓣减压治疗重症闭合性颅脑损伤患者的临床效果显著，值得推广。