小脑幕切开术配合大骨瓣减压术治疗 重型颅脑损伤的效果分析

目的 观察颅脑重型损伤患者采用小脑幕切开术辅助下的大骨瓣减压术的治疗效果。方法 该院2017年1~12月入院的颅脑重型损伤患者80例作为主要观察对象，采用随机数字表法将患者分为观察组及对照组，每组40例。观察组采用小脑幕切开术辅助下的大骨瓣减压术，对照组采用大骨瓣减压术，对比两组患者手术前后的颅脑损伤昏迷程度（GCS）评分及术后并发症发生情况。结果 观察组患者术后GCS评分1周及4周均低于对照组，差异有统计学意义（P＜0.05）；观察组术后并发症发生率为10.00%，低于对照组37.50%，差异有统计学意义（P＜0.05）。结论 通过小脑幕切开术配合大骨瓣减压术的治疗，重型颅脑损伤患者的GCS评分显著降低，术后并发症明显减少，是重型颅脑损伤患者的安全性高，临床效果更优的新型手术方式。

Analysis of the Effect of Large Bone Flap Decompression Assisted by Tentorial Incision for Severe Craniocerebral Injury Neurosurgery

Abstract:Objective To observe the effect of large bone flap decompression assisted by tentorial incision in patients with severe craniocerebral injury.Methods 80 patients with severe craniocerebral injury admitted in our hospital from January to December 2017 were divided into observation group(n=40)and control group(n=40).The patients in the observation group were treated with the large bone flap decompression assisted by tentorial incision and the control group were treated with the large bone flap decompression.The(GCS)score of the patients before and after operation and the postoperative complications were compared between the two groups.Results The postoperative GCS score in the observation group were significantly lower than those in the control group at week 1 and week 4,the difference was statistically significant(P<0.05),and the incidence of postoperative complications in the observation group was 10.00%,lower than that in the control group 37.50%,the difference was statistically significant(P<0.05).Conclusion The GCS score of the patients with severe craniocerebral injury is significantly reduced,and the postoperative complications are significantly reduced.It is a new type of operation with higher safety and better clinical effect in severe craniocerebral injury patients.