钻孔引流并标准去骨瓣减压在外伤性硬膜下血肿脑疝中的临床疗效

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摘要   【摘要】目的:观察钻孔引流并标准去骨瓣减压对外伤性硬膜下血肿脑疝患者的治疗效果。 方法:用“正反面抛掷硬币法”将我院 56例外伤性硬膜下血肿脑疝患者均匀分入对照组和观察组,对照组给予标准去骨瓣减压血肿清除术,观察组实施钻孔引流 +标准去骨瓣减压血肿清除术,对比两组患者的预后情况。 结果:观察组患者的痊愈良好率比对照组高,死亡率比对照组低( p值 <0.05)。 结论:对外伤性硬膜下血肿脑疝患者应用钻孔引流合并标准去骨瓣减压血肿清除术可有效改善患者预后,减少其死亡概率,值得推广。    【关键词】钻孔引流 ;标准去骨瓣减压 ;外伤性硬膜下血肿 ;脑疝    [Abstract] Objective: To observe the therapeutic effect of drilling drainage and standard bone flap decompression on traumatic subdural hematoma with cerebral hernia. Methods: 56 patients with traumatic subdural hematoma and cerebral hernia in our hospital were divided into control group and observation group evenly by coin tossing method. The control group was given standard decompression and hematoma removal by bone flap removal. The observation group was given drilling drainage + standard decompression and hematoma removal by bone flap removal, and the prognosis of the two groups was compared. Results: the good recovery rate of the observation group was higher than that of the control group, and the mortality rate was lower than that of the control group (P < 0.05). Conclusion: the application of drilling drainage combined with standard decompression and hematoma removal can effectively improve the prognosis of patients with traumatic subdural hematoma and reduce the probability of death, which is worth popularizing.
作者 李巍
出处 《中华医学信息导报》 2020年08期
关键词
出版日期 2020年08月11日(中国期刊网平台首次上网日期,不代表论文的发表时间)