改良标准去大骨瓣减压术治疗重度颅脑损伤病人的临床研究

目的 探讨改良标准(USA)去大骨瓣减压术治疗重度颅脑损伤病人的临床疗效。方法 对1996年1月～2002年11月重度颅脑损伤全部手术病人,随机分为两组,一组采用改良标准去大骨瓣减压术,另一组采用标准去大骨瓣减压术治疗,对两部分病人年龄、GCS记分等因素进行统计学分析,在两样本分布相同的情况下,对其结果进行统计学分析比较。结果 采用改良标准去大骨瓣减压术恢复良好率比对照组提高了8.67％(0.025

Improving Standard Large Trauma Craniotomy to Treat the Severe Patients of Craniocerebral Injury in Clinical Research

Objective Discuss to improving standard large trauma craniotomy to treat the severe patient of craniocerebral injury in clinical curative effect. Methods Dividing all the severe patients of craniocerebral injury who fall ill from January 1996 to November 2002 into two groups at random. One group adopt the improving standard large trauma craniotomy and another group adopt the standard large trauma craniotomy statistical analyse two group patients'age, score of GCS and other element under the same conditions. Results The good recover rate rise 8. 67% (0. 025< P < 0. 050) by using improving standard large trauma craniotomy which is better than the contrast group and the death rate reduce 7. 80% (0. 025< P < 0. 050). Conclusions This method has wide bone window which appear all the injury cerebral hemisphere. It is best for clearing away hematoma and venous return. Make all the injuried cerebral hemisphere and side blood vessel reduce pressure. The effective reduce the pressure of intracrani-al. Reduce the cerebral infarction and the rate of occlusion. Reduce the incarceration of brain tissue and it is best to cure cerebral hernia.