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Clinical effect of decompression and craniotomy for bilateral craniocerebral injury |
WU Qiong1 XIONG Xiao-bing1 LI Xiao-hong2 ZHANG Jie-hui1 |
1.Fourth Department of Surgery,People′s Hospital of Yifeng County,Jiangxi Province,Yifeng 336300,China;2.First Department of Surgery,People′s Hospital of Yifeng County,Jiangxi Province,Yifeng 336300,China; |
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Abstract Objective To investigate the clinical effect of decompression and craniotomy for bilateral craniocerebral injury.Methods From July 2012 to December 2017,40 patients with bilateral craniocerebral injury were selected as the study objects.They were divided into study group(20 cases)and control group(20 cases)according to random number table method.The patients in the study group were treated with decompression of bone flap,while the patients in the control group were treated with unilateral standard large bone flap decompression.The treatment effect and the incidence of postoperative complications (acute encephalocele and incisional hernia)were compared between the two groups.Results The total effective rate of the study group was 80.00%,which was higher than that of the control group(60.00%),the differences were statistically significant(P<0.05).The incidence of postoperative complications,such as acute encephalocele and incisional hernia,which was 20.00%in the study group,lower than that in the control group(55.00%),the differences were statistically significant(P<0.05).Conclusion The treatment of bilateral craniocerebral injury with deossed-bone flap decompression is effective in improving the effective rate of clinical treatment,reducing the incidence of acute encephalocele and incisional hernia,and improving the prognosis of the patients,which is worthy of clinical application.
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[1] |
隗世波,陈宇,周游,等.双侧标准外伤大骨瓣开颅术治疗特重型颅脑损伤体会[J].中外医学研究,2013,11(5):129-130.
|
[2] |
晓峰,黄强戴,伟民,等.双侧标准外伤大骨瓣开颅术中自体骨瓣临时回纳脑保护作用的探讨[J].浙江医学,2013,35(5):370-372
|
[3] |
杨开华,冉启山,远超,等.对冲性重型颅脑损伤双侧去骨瓣减压临床疗效分析[J].泰山医学院学报,2016,37(7):779-780.
|
[4] |
杜文俊,张永,杜浩,等.双侧去骨瓣减压治疗重型颅脑损伤的临床研究[J].中国实用医刊,2015,42(3):27-28.
|
[5] |
雷尚国,黄国涛,孟庆锋,等.不同手术方法治疗重型对冲性颅脑外伤的疗效观察[J].中国实用神经疾病杂志,2013,16(9):31-33.
|
[6] |
王忠诚.王忠诚神经外科学[M].武汉:湖北科学技术出版社,2005:365-490.
|
[7] |
张民杰.双侧去骨瓣减压开颅术治疗重型对冲性颅脑外伤的疗效观察[J].中国疗养医学,2018,16(5):169-170.
|
[9] |
方挺.不同手术方法治疗重型对冲性颅脑外伤60例临床观察[J].中国民族民间医药,2014,18(14):53.
|
[10] |
杜洪宇.单侧外伤大骨瓣减压窗手术与双侧去骨瓣减压开颅术治疗重型对冲性颅脑外伤的疗效对比[J].中外医疗,2017,36(15):67-69.
|
[8] |
Cooper DJ,Rosenfeld JV,Murray L,et al.Decompressive craniectomy in diffuse traumatic brain injury[J].N Engl J Med,2011,364(16):1493-1502.
|
[11] |
李金亮.双侧开颅去骨瓣减压术治疗重型颅脑损伤的临床研究[J].中国当代医药,2017,24(20):55-57.
|
[12] |
陈仕明,金涛,李东波,等.着力部位硬膜外血肿清除联合去骨瓣减压对重型对冲性颅脑损伤的疗效[J].海南医学院学报,2016,22(3):254-256.
|
[13] |
杨志敏.双侧去骨瓣减压开颅术在重症对冲性颅脑损伤中的疗效评价[J].医药前沿,2017,7(23):206-207.
|
[14] |
李绪雄,许海兵,杨春福,等.对冲性重型颅脑损伤双侧去骨瓣减压疗效分析[J].武汉大学学报(医学版),2012,33(6):902-904.
|
[15] |
张姗姗.双侧去骨瓣减压开颅术治疗双侧对冲性重型颅脑损伤的临床效果[J].中国医疗设备,2017,19(B12):171-172.
|
[16] |
蔡智基,刘明,刘美秋.重型颅脑损伤患者去骨瓣减压术后并发症与预后的相关性分析[J].中国现代医生,2017,55(2):83-85.
|
[17] |
李金亮.双侧开颅去骨瓣减压术治疗重型颅脑损伤的临床研究[J].中国当代医药,2017,24(20):55-57.
|
[18] |
黎卫军.双侧开颅去骨瓣减压术在重型颅脑损伤治疗中的作用研究[J].中国当代医药,2017,24(14):27-29.
|
[19] |
吉康荣,李康成,陈琴.双侧去骨瓣和改良大骨瓣开颅减压术治疗急性颅脑损伤的效果比较[J].中国当代医药,2017,24(28):67-69.
|
[20] |
彭慕建,沈建忠,周亮.双额大骨瓣减压术治疗脑外伤后难治性弥漫性脑肿胀的临床研究[J].中国当代医药,2016,23(31):37-39.
|
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