大骨瓣减压术治疗50例重型颅脑损伤体会

摘要

Objective:To explore the clinical effect of severe brain injuries by big bone flap pressure-reduction operation.Method:The clinical data of 50 cases of severe brain injuries treated with big bone flap pressure-reduction operation in our department in recent years were analysed retrospectively.Result:With the GCS recovery standards in post-surgery after half a year,there were 25 cases with good effects,10 cases with moderate disability,5 cases with severe disability, 3 cases with vegetative survival and 7 cases with death.Conclusion:For severe brain injuries,the effect of big bone flap pressure-reduction operation is better than those of routine decompressive craniotomy,which could obviously has lower the mortality and disability rate.%目的：探讨大骨瓣减压术在抢救重型颅脑损伤的作用。方法：回顾性分析近年来笔者所在科室应用大骨瓣减压术治疗50例重型颅脑损伤患者的临床资料。结果：按术后半年GCS恢复标准，疗效良好25例，中残10例，重残5例，植物生存3例，死亡7例。结论：大骨瓣减压术在重型颅脑损伤救治中效果优于常规去骨瓣开颅术，可明显降低死亡率、致残率。