标准外伤大骨瓣减压术治疗重型颅脑损伤24例分析

目的:探讨标准外伤大骨瓣减压术治疗重型颅脑损伤的手术方法和疗效。方法:回顾性分析采用标准外伤大骨瓣减压术治疗24例重型颅脑损伤患者的临床资料及疗效。结果:生存20例,生存率83.3%。病死4例,病死率16.7%。20例生存患者,术后随访12个月以上,根据日常生活活动能力分级法,Ⅰ级9例,Ⅱ级7例,Ⅲ级2例,Ⅳ级1例,Ⅴ级1例。结论:标准外伤大骨瓣减压术是治疗重型颅脑损伤患者的有效方法。

Curative effects of the standard large craniectom on severe brain injuries

Objective:To explore the surgical methods and curative efficacy of the standard large trauma craniectomy on severe traumatic brain injured patients.Methods:The clinical data and efficacy of standard large trauma craniectomy in 24 patients on severe brain trauma from January 2005 to January 2008 were retrospectively analyzed.Results:There were 20 patients who were survived in 24 patients,accounting for 83.3%.Four patients were died,the death rate was 16.7%.A follow-up of more than 12 months were conducted in the 20 survived patients according to the activity of daily living(ADL)grading system,these patients who belongs to grade Ⅰ,grade Ⅱ,grade Ⅲ,grade Ⅳ,and grade Ⅴ were 9,7,2,1 and 1 respectively.Conclusions:The curative efficacy of standdard large trauma craniectomy on severe brain trauma is good.