标准大骨瓣与常规骨瓣治疗重型颅脑损伤临床分析

目的探讨标准大骨瓣开颅减压术治疗重型颅脑损伤的疗效。方法回顾性分析65例重型颅脑损伤患者临床资料，比较标准外伤大骨瓣开颅术与传统常规骨瓣手术救治65例重型颅脑损伤的疗效。结果标准大骨瓣组（41例）：恢复良好17例，中残6例，重残5例，植物状态2例，死亡11例（27％）。常规骨瓣组（24例）：恢复良好4例，中残3例，重残4例，植物状态1例，死亡12例（50％）。结论标准外伤大骨瓣减压术可明显改善重型颅脑损伤患者预后，提高患者生存质量。但可引起严重并发症，术后遗留的骨缺损范围大。

A comparison of standard large craniectomy with routine craniectomy in treatment of 65 patients with severe traumatic brain injury

Objective To compare the outcomes of standard large craniectomy with routin craniectomy in 65 patients with severe traumatic brain injury. Methods 65 patients were randomly divided into standard large craniectomy group(41 cases) and routine craniectomy group (24 cases), and the effect was compared between the two groups. Results The outcome showed 17 cases of good recovery,6 cases of moderate disability,5 cases of severe disability,2 cases of persistent vegetative status,l1 cases of death in the standard group and 5 eases of good recovery,3cases of moderate disability,4 cases of severe disability, 1 of persistent vegetative status, 12 cases of death in route group. Conclusion The standard flesh wound big bone petal reduced pressure technique could enable the brain organization to obtain the full reduced pressure, effectively protect the brain function, after the distinct improvement heavy eranioeerebral damages, reduce the case fatality rate. But, this method also had certain shortcoming, must therefore grasp the surgery to refer to drafts.