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目的:总结硬脑膜扩大成型术治疗重型颅脑创伤的临床应用效果。方法:选择我院在2013年1月~2015年1月之间收治的40例重型颅脑损伤患者,随机分为观察组和对照组。对照组实行放射状硬脑膜扩大成型术,观察组实行网状硬脑膜扩大成型术。比较两组硬脑膜扩大成形术治疗重型颅脑创伤的效果和并发症发生率。结果:对照组良好率45%,观察组良好率85%。两组各结果的患者比率差异存在显著性,P<0.05。对照组并发症率30%,观察组并发症率10%,两组并发症发生率差异存在显著性,P<0.05。结论:硬脑膜扩大成型术可以用于治疗重型颅脑创伤,尤其是网状硬脑膜扩大成型术,相较放射状硬脑膜扩大成型术的治疗效果更好,并发症发生率低。
Objective: To summarize the clinical application of dural enlargement in the treatment of severe traumatic brain injury. Methods: Forty patients with severe craniocerebral injury who were treated in our hospital from January 2013 to January 2015 were randomly divided into observation group and control group. In the control group, radial dural expansion was performed and in the observation group, reticular dural expansion was performed. The effect and complication rate of two groups of dural augmentationoplasty in treating severe traumatic brain injury were compared. Results: The good rate was 45% in the control group and 85% in the observation group. There was a significant difference in the rates of patients between the two groups (P <0.05). In the control group, the complication rate was 30% and the complication rate in the observation group was 10%. There was significant difference in the complication rates between the two groups (P <0.05). Conclusion: Dural enlargement can be used to treat severe craniocerebral trauma, especially reticular dural enlargement. Compared with radial dural enlargement, the dural enlargement is better and the complication rate is lower.