均衡性去骨瓣减压术治疗重型颅脑损伤的临床疗效

目的比较均衡性与非均衡性去骨瓣减压术治疗重型颅脑损伤的临床疗效。方法回顾性分析在我院进行治疗的重型颅脑损伤患者60例的临床资料。其中30例患者采用均衡性去骨瓣减压术治疗为研究组,30例患者采用非均衡性去骨瓣减压术治疗。比较两组临床疗效和并发症。结果研究组轻度残疾＋恢复良好的比例显著高于对照组（P〈0.05）;研究组GCS评分治疗后组间比较显著高于对照组（P〈0.01）;对照组并发症发生率显著高于研究组（P〈0.01）。结论均衡性去骨瓣减压术治疗重型颅脑损伤能够显著改善预后,减少并发症的发生率。

Clinical efficacy of balanced decompressive craniectomy for treatment of severe traumatic brain injury

Objective To compare clinical efficacy between balanced decompressive craniectomy and non-equilibrium decompressive craniectomy for treatment of severe traumatic brain injury. Methods Clinical data of 60 cases with se- vere traumatic brain injury were retrospectively analyzed. Thirty cases were treated by balanced decompressive craniec- tomy as study group,and thirty cases were treated by non-equilibrium decompressive craniectomy as control group. Clinical efficacy was compared between two groups. Results Mild disability＋good restore proportion of study group was higher than control group （P〈0.05）. After treatment, GCS of study group was higher than control group （P〈0.01）. The complication rate of control group was higher than study group（P〈0.01 ）. Conclusion Balanced decompressive craniec- tomy for treatment of severe traumatic brain injury can improve prognosis, and reduce the incidence of complications.