标准大骨瓣开颅术救治重型颅脑损伤80例疗效分析

目的:探讨标准大骨瓣开颅术救治重型颅脑损伤的临床效果。方法:采用标准大骨瓣开颅术对80例重型颅脑损伤患者进行手术治疗,并观察其治疗效果。结果:本组患者80例,按照GOS标准,术后随访半年,预后较好37例(46.25%),其中恢复良好24例(30.00%),中残13例(3.75%)。预后较差31例(38.75%),其中重残21例(26.25%),植物状态10例(12.50%);死亡12例(15.00%)。结论:标准大骨瓣减压术可明显改善重型颅脑损伤患者的预后,降低病死率,提高生存率。

Analysis of treatment of 80 cases of severe craniocerebral injury using craniotomy with major bone flap of standard trauma

Objective：To explore the treatment effects of severe craniocerebral injury using craniotomy with major bone flap of standard trauma.Methods：Eighty cases of severe craniocerebral injury were treated with craniotomy with major bone flap of standard trauma and the therapeutic effects were observed.Results：According to follow up lasted for half a year,excellent prognosis was observed in 37 cases（46.25%）,good in 24 cases（30%）,of which 13 cases were evaluated as moderate disability（3.75%）.Poor prognosis was observed in 31 cases（38.75%）,of which 21 were severe disability（26.25%）,10 were in vegetative status.Twelve patients died.Conclusions：Craniotomy decompression with major bone flap of standard trauma can improve prognosis,decrease mortality,and raise survival rate for patients with severe craniocerebral injury.