重型颅脑损伤65例标准大骨瓣开颅治疗体会

目的探讨标准大骨瓣开颅减压术治疗重型颅脑损伤的临床治疗效果。方法对65例重型颅脑损伤患者,采用标准外伤大骨瓣开颅加去骨瓣减压术,观察其治疗效果及术后并发症。结果术后随访1年根据GOS评分,本组65例中,恢复良好26例,轻、中残24例,植物生存4例,死亡11例。结论标准大骨瓣开颅术暴露充分,能彻底清除颅内血肿和坏死脑组织且减压充分,提高治疗存活率,个性化采用,能取得满意的临床治疗效果。

Experience of standard large trauma craniotomy for treatment severe craniocerebral injury in 65 cases

Objective To evaluate the clinical curative effect of standard large trauma craniotomy in the treatment of severe craniocerebral injury.Methods The therapeutic effects and postoperative complications of 65 patients with severe craniocerebral injury who underwent the standard large trauma craniotomy with bone flap decompression were observed.Results According to Glasgow outcome scale(GOS) standard,a follow-up was con ducted half a year later,which indicated that 26 cases got favorable outcome,24 cases suffered moderated and severe disability,4 cases were living vegetatively ,11 cases were died.Conclusion The standard large trauma craniotomy can thoroughly remove theintracranial hematoma and necrotic brain tissue,sufficient decompression,improve treatment survival rate.Clinical treatment can obtain satisfactory by individuation.