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标准大骨瓣开颅术治疗重型颅脑损伤
引用本文:汪洪波,高惠兴,鲁殿佩,姚辉,杨俊,曹军.标准大骨瓣开颅术治疗重型颅脑损伤[J].中国基层医药,2005,12(10):1374-1375.
作者姓名:汪洪波  高惠兴  鲁殿佩  姚辉  杨俊  曹军
作者单位:安徽淮南,淮南第二矿工医院神经外科,232052
摘    要:目的探讨标准大骨瓣开颅手术在重型颅脑损伤救治中的作用。方法对32例重型颅脑损伤采用标准大骨瓣哥颅术并与常规术式治疗的63例进行对照。结果大骨瓣术式组脑膨出6例(18.9%),常规术式组为18例(28.6%),两组间差异有显著意义(P〈0.05)。标准大骨瓣术式的恢复良好率明显优于常规术式组(P〈0.01),两组致残率比较差异有显著意义(P〈0.05)。结论标准大骨瓣术式清除血胂彻底.减压充分,可显著改善重型颅脑损伤患者的预后。

关 键 词:标准大骨瓣  重型颅脑损伤  预后  标准大骨瓣开颅术  治疗  大骨瓣开颅手术  常规术式  颅脑损伤患者  脑膨出  组间差
收稿时间:2005-05-20
修稿时间:2005年5月20日

Standard craniotomy of major bone window used in heavy craniocerebral injury
WANG Hong-bo,GAO Hui-xing,LU Dian-pei,YAO Hui,YANG Jun,CAO Jun.Standard craniotomy of major bone window used in heavy craniocerebral injury[J].Chinese Journal of Primary Medicine and Pharmacy,2005,12(10):1374-1375.
Authors:WANG Hong-bo  GAO Hui-xing  LU Dian-pei  YAO Hui  YANG Jun  CAO Jun
Institution:Department of Neurosurgery, Huainan Second Miner Hos pital , Huainan , Anhui , 232052, China
Abstract:Objective To study the contribution of standard craniotomy of major bone window in the treatlnent of heavy craniocerebral injury patients. Methods The standard craniotomy of major bone window was used in 32 cases of heavy craniocerebral injury and compared to the convention craniotomy used in 63 cases of the same disease. Results The craniocerebral injury had significant difference in two groups. Conclusion The hematomas are eleminated thoroughly and the cranial internal pressur is decompressed thoroughly and the prognosis of the patients of heavy craniocerebral injury dealed with the standard craniotomy of major bone window are improved significantly.
Keywords:The standard craniotomy of major bone window  Heavy cranilcerebral injury  Prognosis
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