| 摘要: |
| 目的 分析不同时机与方式的双侧开颅手术治疗外伤性多发性颅内血肿的临床效果。方法 选取2011年3月—2017年6月该院收治的100例外伤性多发性颅内血肿患者,采用单双号的方法分为观察组和对照组,每组50例；对照组患者进行分期双侧开颅手术的治疗方式,观察组患者实施Ⅰ期双侧开颅手术的治疗方式；观察两组患者临床治疗效果和GOS评分。结果 对照组治疗良好率为82.0%(16例恢复良好、25例轻度残疾、6例重度残疾、2例植物生存、1例死亡),观察组治疗良好率为96.0%(28例恢复良好、20例轻度残疾、1例重度残疾、1例植物生存),观察组临床疗效明显高于对照组,对比差异具有统计学意义(P＜0.05)。治疗前,两组患者GOS评分[(2.15±0.64)分 vs (2.18±0.59)分]差异无统计学意义(P＞0.05)；治疗后,对照组患者GOS评分(3.37±0.97)分,观察组患者GOS评分(4.52±0.83)分,观察组GOS评分明显高于对照组,经比较有统计学差异(P＜0.05)。结论 与分期双侧开颅手术相比,外伤性多发性颅内血肿患者采用Ⅰ期双侧开颅手术临床治疗效果更佳,在临床上值得推广应用。 |
| 关键词: 双侧开颅手术 手术时机与方式 外伤性多发性颅内血肿 临床效果 |
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| Evaluation of the effect of bilateral craniotomy with different surgical timing and mode on traumatic multiple intracranial hematoma |
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冯亚东
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First people''s Hospital of Xinmi
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| Abstract: |
| Objective to analyze the clinical effect of bilateral craniotomy with different timing and mode in the treatment of traumatic multiple intracranial hematoma. Methods from March 2011 to June 2017 the hospital treated 100 cases of traumatic multiple intracranial hematoma patients, using the method of single and double divided into observation group and control group, 50 cases in each group; the control group was treated with staged bilateral craniotomy treatment, observation of one-stage bilateral craniotomy group treatment; observation of two groups of patients with clinical treatment effect and GOS score. The results of the treatment of control group good rate was 82% (16 cases of good recovery, 25 cases of mild disability, 6 cases of severe disability, 2 cases of 1 cases of plant life and death), observation group good rate was 96% (28 cases of good recovery, 20 cases of mild disability, 1 cases of severe disability, 1 cases of plant survival, view) the clinical curative effect of observation group was significantly higher than the control group, the difference was statistically significant (P < 0.05). Before treatment, the GOS score of the two groups [(2.15 + 0.64) vs (2.18 + 0.59) there was no statistically significant difference (P > 0.05); after treatment, the GOS score of the control group (3.37 + 0.97), patients in the observation group GOS score (4.52 + 0.83) points, the GOS score of the observation group higher than those of control group, the difference was statistically significant (P < 0.05). Conclusion compared with staged bilateral craniotomy, the treatment of traumatic multiple intracranial hematoma is better and better in stage I bilateral craniotomy. It is worth popularizing in clinic. |
| Key words: Bilateral craniotomy time and method of operation traumatic multiple intracranial hematoma clinical effect |
