标准外伤大骨瓣与常规骨瓣治疗重型颅脑损伤的临床研究(1)
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【摘要】目的：比较标准外伤大骨瓣与常规骨瓣治疗重型颅脑损伤患者的疗效及安全性。方法：97例重型颅脑损伤患者按双盲、随机原则分为对照(47例)和观察组(50例)，对照组采取常规骨瓣术治疗，观察组采取标准外伤大骨瓣术。两组患者治疗结束后，随访观察半年，观察其治疗效果。结果: 观察组的好转率为76.27%，死亡率为5.08%，平均住院时间为31.07±9.06天，平均住院费用为11643±2305元，观察组临床效果明显好于对照组，差异有统计学意义 (P<0.05)。结论：临床上治疗重型颅脑损伤时，可首选标准外伤大骨瓣术，可显著改善患者的预后，降低死亡率，值得临床推广应用。
【关键词】标准外伤大骨瓣；常规骨瓣；重型颅脑损伤
Standard large trauma craniotomy and routine craniotomy in treatment of severe head injury a clinical comparative study
Kouguo-min (Department of Neurosurgery ,the people hospital of An Yue , SiChuan 642350 )
[Abstract] Objective: to compare the standard large trauma of bone flap with conventional bone flap treatment of severe head injury patients safety and efficacy. Methods: 97 cases of severe craniocerebral injury patients by double-blind, randomized principle is divided into control (47 cases) and the observation group (50 cases) and control group adopt conventional bone flap operation treatment, observation group adopt standard trauma big bone flap operation. Two groups of patients after treatment, follow-up half a year, observe its treatment effect. Results: observation group of recovery was 76.27%, and mortality was 5.08%, and the average hospital stay was 31.07 + / - 9.06 days, average hospitalization expense for 11643 + 2305 yuan, to observe the clinical effect of group was obviously better than the control group, the difference was statistically significant (P < 0.05). Conclusion: clinical treatment of severe head injury, but first choice standard trauma big bone flap operation, can significantly improve the prognosis of patients, reduce the mortality rate, it is worthy of clinical application.
[key words] standard trauma big bone flap; Conventional bone flap; severe head injury
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