[1]曹金昌,吴启运,唐荣武,等.特急性外伤性颅内血肿个体化手术时机与方案[J].中国临床神经外科杂志,2019,(04):214-217.[doi:10.13798/j.issn.1009-153X.2019.04.008]
 CAO Jin-chang,WU Qi-yun,TANG Rong-wu,et al.Opportunity time and plan of individualized surgery in patients with severe craniocerebral injury[J].,2019,(04):214-217.[doi:10.13798/j.issn.1009-153X.2019.04.008]
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特急性外伤性颅内血肿个体化手术时机与方案()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
期数:
2019年04期
页码:
214-217
栏目:
论著
出版日期:
2019-04-27

文章信息/Info

Title:
Opportunity time and plan of individualized surgery in patients with severe craniocerebral injury
文章编号:
1009-153X(2019)04-0214-04
作者:
曹金昌吴启运唐荣武巫定明赵 军杨 坤刘 洪
621700 四川 江油市第二人民医院神经外科(曹金昌、吴启运、唐荣武、巫定明、赵 军、 杨 坤),肿瘤中心(刘 洪)
Author(s):
CAO Jin-chang WU Qi-yun TANG Rong-wu WU Ding-ming ZHAO Jun YANG Kun LIU Hong.
Department of Neurosurgery, Jiangyou Municipal Second Hospital, Jiangyou 621700, China
关键词:
颅脑损伤特急性颅内血肿并发症个体化手术
Keywords:
Severe craniocerebral injury Intracranial hematoma Complication Individual surgery
分类号:
R 651.1+5; R 651.1+1
DOI:
10.13798/j.issn.1009-153X.2019.04.008
文献标志码:
A
摘要:
目的 探讨个体化手术治疗特急性外伤性颅内血肿的疗效。方法 回顾性分析2009年1月至2018年1月手术治疗的126例特急性外伤性颅内血肿的临床资料,急诊常规急诊开颅手术61例(常规手术 组),个体化手术65例(个体化手术组)。结果 与常规手术组相比,个体化手术组术中脑膨出、术后迟发性血肿、颅骨缺损、脑积水、继发性癫痫的发生率均显著降低(P<0.05);术后6个月,按GOS评 分评估预后,个体化手术组恢复良好率明显增高(P<0.05)。结论 对于特急性外伤性颅内血肿,个体化手术方案能显著提高疗效,减少并发症发生率。
Abstract:
Objective To investigate the outcomes and advantages of opportunity and method of individualized operation in the patients with severe craniocerebral injury (sCCI). Methods Of 126 patients with sCCI, 61 underwent conventional emergent surgery (CES) and 65 individualized surgery (IS) from January, 2009 to January, 2018 in our hospital. The rates of perioperative complications and the prognoses 6 months after the surgery were compared between both the groups. Results The rate of complications including intraoperative encephalocele, postoperative delayed hematoma, skull defect, hydrapgalus and epilepsy was significantly lower in IS group than that in CES group (P<0.05). The rate of good prognosis was significantly higher in IS group than that in CES group 6 months after the surgery (P<0.05). Conclusion IS is very helpful to decrease in the rate of intraoperative and postoperative complications occurrences and improvement of the prognoses in the patients with sCCI.

参考文献/References:

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备注/Memo

备注/Memo:
(2018-07-11收稿,2018-07-27修回)
更新日期/Last Update: 2019-04-27