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Effect comparison of large bone flap craniotomy and routine craniotomy treating severe craniocerebral injury |
ZENG Jia-liang XIE Fei YE Yong-qiang ZHANG Chang-feng |
Department of Neurosurgery,the First People′s Hospital of Ziyang City in Sichuan Province,Ziyang 614300,China |
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Abstract ObjectiveTo compare the efficacy of large bone flap craniotomy and conventional bone flap craniotomy treating severe traumatic brain injury.Methods320 patients with severe craniocerebral injury admitted into our hospital from January 2012 to November 2016 were selected and divided into observation group and control group according to the operation mode,each group had 160 cases.The observation group was treated with large bone flap craniotomy,while the control group was given conventional craniotomy.The treatment effect of two groups was compared.ResultsIn the observation group,recovery was good in 51 cases,30 cases were moderate disability,29 severe were disability,plant survival was in 27 cases,23 cases were death,while in the control group,27 cases were good recovery,24 cases were moderate disability,44 cases were severe disability,32 cases were plant survival,33 cases were death.The curative effect of observation group was better than that of the control group(P<0.05).ConclusionLarge trauma craniotomy has a better curative effect in patients with severe craniocerebral injury,which is superior to the conventional craniotomy surgery,and it can obviously reduce the morbidity and mortality of the patients.
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[1] |
王忠诚.神经外科学[M].武汉:湖北科技出版社,2005:395.
|
[2] |
邢永国,孟伟英.标准大骨瓣减压术的临床应用[J].中国医药导报,2008,5(30):51-52.
|
[3] |
孙志扬,刘中民,刘建军,等.重型颅脑外伤合并多发伤的救治[J].中华急救医学杂志,2005,14(2):112-113.
|
[4] |
杨理坤,王玉海,蔡学见,等.控制减压模式治疗兔急性颅高压的实验研究[J].中华神经外科杂志,2011,27(8):855-858.
|
[6] |
刘佰运,江基尧,张赛.外伤大骨瓣手术方法介绍[J].中华神经外科杂志,2008,24(2):153-154.
|
[5] |
Jiang JY,Gao GY,Li WP,et al.Early indicators of prognosis in 846 cases of severe traumatioc brain injury[J].J Neurotrauma,2002,19(7):869-874.
|
[7] |
段国升,朱诚.神经外科手术学[M].2版.北京:人民军医出版社,2004:99.
|
[8] |
袁红新,许文婷,宋振海,等.神经外科危重颅脑外伤的临床治疗研究[J].中国当代医药,2015,22(28):42-43,46.
|
[9] |
程亭秀,于明琨.外伤标准大骨瓣减压术的技术要点与改良[J/CD].中华神经创伤外科电子杂志,2016,2(2):120-121.
|
[10] |
江基尧,朱诚,罗其中.颅脑创伤临床救治指南(修编)[M].2版.上海:第二军医大学出版社,2003:36-39.
|
[11] |
万学红,姚巡,卿平.现代医学模拟教学的发展及其对医学教育的影响[J].中国循证医学杂志,2008,8(6):413-415.
|
[12] |
徐守仕,田福.逐步控制性减压手术治疗重型颅脑损伤的疗效分析[J].中国实用神经疾病杂志,2015,18(13):116-117.
|
[13] |
Whitfield PC,Kirkpatrick PJ,Czosnyka M,et al.Management of severe traumatic brain in injury by decompressive craniectong[J].Neurosurgery,2001,49(1):225-226.
|
[14] |
江基尧,李维平,徐蔚,等.标准外伤大骨瓣与常规骨瓣治疗重型颅脑损伤多中心前瞻性临床对照研究[J].中华神经外科杂志,2004,20(1):37-40.
|
[15] |
Munch E,Horn P,Schürer L,et al.Management of severe traumatic brain injury by decompressive craniectomy[J].Neurosurgery,2000,47(2):315-322.
|
|
|
|