急性硬膜外血肿合并脑疝术后回复骨瓣43例

摘要

Objective:To investigate the clinical effect of reduction and bone flap of acute epidural hematoma and cerebral hernia surgery. Methods:in our hospital from 2009 March to 2012 March a total of 86 cases of acute epidural hematoma accompanied by cerebral hernia patients, reduction and bone flap for treatment of.Comparing the two groups of patients with clinical therapeutic effect.Results:According to the Gos evaluation of the prognosis of patients with good prognosis, the observation group 35 cases, accounting for 81.40%, moderate disability in 8 cases, accounting for 18.60%, without severe disability or death; the control group of patients with a favorable prognosis in 24 cases, accounting for 9.30%, 2 cases of death, accounting for 4.65%;two groups with significant difference (P<0.05).Conclusion:Clinical master operation indications, accurate judgment, acute epidural hemato which can achieve the purpose of therapy, but also can shorter hospitalization time, curative effect satisfaction.%　　目的：探讨急性硬膜外血肿合并脑疝术后复位骨瓣的临床效果。方法：将我院2011年3月至2012年3月共收治的86例急性硬膜外血肿合并脑疝的患者，按入院单双日随机分为两组，对照组43例，给予血肿清除术后去除骨瓣治疗，观察组43例，给予血肿清除术后复位骨瓣进行治疗。比较两组患者的临床治疗效果。结果：根据Gos评价患者预后，观察组预后良好35例，占81.40%，恢复较好或中度残疾为8例，占18.60%，无重残或死亡；对照组患者预后良好24例，占55.81%，恢复较好或中度残疾为13例，占30.23%，预后不良，重残或植物生存4例，占9.30%，死亡2例，占4.65%；两组比较差异具有统计学意义(P<0.05)。结论：临床上掌握好手术指征，准确判断，急性硬膜外血肿合并脑疝术后保留骨瓣，既可达到治疗目的，又可以减少患者痛苦，缩短患者的住院时间，疗效满意。