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1、16例重型颅脑损伤患者行标准大骨瓣开颅减压术治疗的临床特点分析(绵阳市骨科医院四川绵阳621000)【摘要】目的:分析重型颅脑损伤患者行标准人骨瓣开颅减压术治疗的临床特点。方法:对我院32例重型颅脑损伤患考治疗资料回顾分析,其屮16例患考行常规大骨瓣开颅减压术治疗,16例患者行标准人骨瓣开颅减压术治疗,对比治疗结果,分析重型颅脑损伤患者行标准人骨瓣开颅减压术治疗的临床特点。结果:对照组并发率是31.25%,研究组并发率是12.50%。并发率比较,P<0.05;两组GOS评定结果比较,研究组致残率、致死率明显较低,恢复良好的患
2、者较多,与对照组比较,P<0.05。结论:重型颅脑损伤患者行标准人骨瓣开颅减压术治疗,术后并发症少,死亡率、重度残疾率以及植物生存率低,患者预后质量好于常规大骨瓣开颅减压术治疗。【关键词】重型颅脑损伤:标准大骨瓣开颅减压;临床特点【中图分类号】R742【文献标识码】A【文章编号】2095-1752(2016)31-0033-0216casesofseverecraniocerebralinjurypatientswithstandardbigboneflapcraniotomydecompressiontherapyclin
3、icalcharacteristicsanalysisCuiBo.MianyangOrthopaedicHospital,SichuanProvince,Mianyang621000,China【Abstract】ObjectiveToanalysisofseverecraniocerebralinjurypatientswithstandardbigboneflapcraniotomydecompressiontreatmentofclinicalfeatures.MethodsTheclinicaldataof32patien
4、tswithseverecraniocerebralinjuryinourhospitalretrospectivelyanalyzed,including16casesofpatientswithconventionalbigboneflapcraniotomydecompressiontreatment,16casesofpatientswithlinestandardbigboneflapcraniotomydecompressiontreatment,comparethetreatmentresults,analysiso
5、fseverecraniocerebralinjurypatientsstandardbigboneflapcraniotomydecompressiontreatmentofclinicalfeatures.ResultsThecontrolgroupofconcurrentrateis31.25%,theteamtheconcurrentrateis12.50%.Concurrentrate,P<0.05;TwogroupsofGOSevaluationresultscomparison,theteamwasassoci
6、atedwithsignificantlylowermorbidity,mortality,goodrecoveryofpatientsismore,comparedwithcontrolgroup,P<0.05).ConclusionSeverecraniocerebralinjurypatientswithstandardbigboneflapcraniotomydecompressiontreatment,lesspostoperativecomplications,mortality,severedisability
7、,andplantsurvivalrateislow,theprognosisofpatientswithgoodqualityintheconventionalbigboneflapcraniotomydecompressiontherapy.LKeywords]Severeheadinjury;Standardbigboneflapcraniotomydecompression;Clinicalcharacteristics重型颅脑损伤是神经外科常见病,病情多会危及患者生命。0前我国重型颅脑损伤发病率逐年上升,而多是交通事敌造
8、成。重型颅脑损伤临床治疗与研宄发现,标准大骨瓣开颅减压治疗效果显著。本次我院研究,对比分析标准大骨瓣开颅减压治疗和常规人骨瓣开颅减压治疗结果,分析标准人骨瓣开颅减压治疗特点。现报告如下。1.资料和方法1.1基本资料此次研究的32例患者是我院2014