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目的探讨外伤性静脉窦骑跨型硬膜外血肿不同治疗方法的疗效。方法回顾性分析2009年1月~2014年10月我院收治的64例外伤性静脉窦骑跨型硬膜外血肿患者的临床资料,比较采用保守治疗、窦旁骨瓣开窗开颅血肿清除术、跨窦骨瓣成形开颅血肿清除术治疗后各组患者恢复情况,出院后3个月随访GOS评分。结果 16例保守治疗组患者恢复14例(75%),15例窦旁骨瓣开窗开颅血肿清除术治疗组患者恢复13例(86.7%),跨窦骨瓣成形开颅血肿清除术治疗组患者恢复35例(97.2%)。出院后随访3个月,根据GOS评分显示均获满意疗效。结论入院早期诊断,及时手术,根据患者的具体情况采用适合的治疗方式是提高该病的治疗效果的关键,可显著提高疗效,降低病死率。
Objective To investigate the curative effect of different treatment methods for traumatic venous sinus riding-type epidural hematoma. Methods The clinical data of 64 patients with traumatic venous sinus bypass type epidural hematoma admitted in our hospital from January 2009 to October 2014 were retrospectively analyzed. The patients were treated conservatively and the c? After surgery, the recovery of patients in each group after transcortical bone flap craniotomy was completed. The GOS score was followed up 3 months after discharge. Results In the 16 cases of conservative treatment group, 14 cases (75%) were recovered, 13 cases (86.7%) were recovered in 15 cases of sinusoidal craniotomy, and 13 cases (86.7%) were treated by transcranial bone flap craniotomy Group patients recovered 35 cases (97.2%). Followed up for 3 months after discharge from the hospital showed satisfactory results according to the GOS score. Conclusion Early admission diagnosis and timely operation, according to the specific circumstances of patients with appropriate treatment is the key to improving the treatment of the disease, can significantly improve the efficacy and reduce mortality.