|
|
|
| Effect comparison of controlled decompression and standard large decompressive craniectomy in the treatment of senile severe craniocerebral injury complicated with cerebral infarction |
| XU Xin CHEN Xiao-ping |
| Department of Neurosurgery,the Second People′s Hospital of Pingxiang City,Jiangxi Province,Pingxiang 337000,China |
|
|
|
|
Abstract ObjectiveTo explore the effect comparison of controlled decompression and standard large decompressive craniectomy in the treatment of severe craniocerebral injury complicated with cerebral infarction in the elderly.MethodsThe clinical data of 72 patients treated in our hospital from January 2010 to October 2016 were analyzed.According to the different surgical methods，they were evenly divided into controlled decompression group and standard large decompressive craniectomy group,36 cases in each group.The conditions of intracranial pressure before,during,just after, and 6－month after surgeries were observed in the two groups.The NCSE score,Barthel index and GOS score of the two groups were observed 6 months after operation.The favorable rate for prognosis in the two groups was also observed.ResultsBefore surgery,there was no significant difference in the intracranial pressure between the two groups.During, just after,and 6－month after operation,the intracranial pressure of the two groups was lower than that in the standard large decompressive craniectomy.In the controlled decompression,the NCSE score,Barthel index,and GOS score were all higher than those in the standard large decompressive craniectomy group 6 months after operation.The favorable rate for prognosis in the controlled decompression group was better than in the that of standard large decompressive craniectomy group,with a statistical difference(P＜0.05).ConclusionControlled decompression is effective in the treatment of severe craniocerebral injury complicated with cerebral infarction in the elderly with remarkable improvement of intracranial pressure and favorable rate for prognosis,which is worthy of clinical application and promotion.
|
|
|
|
|
|
| [1] |
苏斌，张治华.控制性减压术治疗老年重型颅脑损伤患者并发脑梗死的疗效分析[J].系统医学，2016，1（3）：46－49.
|
| [2] |
郭骅，柳隆华，方旭生，等.制性减压术在治疗老年重型颅脑损伤并发脑梗死中的应用效果分析[J].中国当代医药，2014，21（18）：47－48.
|
| [3] |
孙文栋，刘振杰.标准大骨瓣减压术和控制性减压术治疗老年重型颅脑损伤并发脑梗死的疗效[J].中国老年学杂志，2013，33（19）：4731－4733.
|
| [4] |
秦德广，黄文勇，邓略初，等.颅内压监测下控制性减压在去骨瓣减压术中的应用[J].中华神经外科杂志，2015，31（5）：499-500.
|
| [5] |
李鑫，刘少波，张彭，等.控制性减压术治疗重型、特重型颅脑损伤[J].中国微侵袭神经外科杂志，2013，18（5）：219-221.
|
| [6] |
潘文勇，孟庆海，李环亭，等.控制性阶梯式减压在重型颅脑损伤手术中的应用[J].中华神经外科疾病研究杂志，2014，13（1）：36-39.
|
| [7] |
彭华.控制性减压术对重度颅脑损伤后脑梗死的治疗效果[J].中国实用神经疾病杂志，2017，20（7）：20-22.
|
| [8] |
赵鹏，施正生，陈新生，等.中重度颅脑损伤后脑梗死分型的初步探讨[J].中华神经外科杂志，2015，31（10）：1037-1041.
|
| [9] |
吴俊波，杨杰.度颅脑损伤患者创伤性脑梗死的影响因素探讨[J].江西医药，2014，49（5）：393-394
|
| [10] |
崔守章，王辉，张丽，等.开颅去骨瓣减压术对重度颅脑损伤患者血流动力学与预后的影响[J].河北医药，2015，37（18）：2789-2791.
|
| [11] |
王忠，苏宁，吴日乐，等.标准大骨瓣减压术后早期颅骨修补材料的选择及并发症的临床分析[J].临床神经外科杂志，2014，11（5）：360-362.
|
| [12] |
黄俊强，熊元元，李威，等.重度颅脑损伤继发急性脑梗死的相关危险因素和预后分析[J].临床神经外科杂志，2015，12（4）：248-252.
|
| [13] |
刘顶新，郭西良，徐旭东，等.急性闭合性重度颅脑损伤207例临床治疗分析[J].安徽医学，2014，35（8）：1115-1116
|
| [14] |
Tamaki T，Node Y，Yamamoto Y，et al．Cardiopulmonary emodynamic changes during acute subdural hematoma evaluation[J].Neural Med Chir（Tokyo），2006，46（5）：219-224．
|
| [15] |
Wang K，Du HG，Yin LC，et al．Which side of lateral entricles to choose during external ventricular drainage in atients with intraventricular hemorrhage：ispilateral or ontralateral[J].J Surg Res，2013，6（12）：1-6．
|
| [16] |
Su TM，Lee TH，Chen WF，et al．Contralateral acute epidural hematoma after decompressive surgery of acute subdural hematoma：clinical features and outcome[J].J Trauma，2008，65（6）：1298-1302．
|
|
|
|
