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目的分析颅脑外伤去大骨瓣减压术后脑膨出、颅内血肿及脑梗死等并发症发生情况,并探讨术后脑膨出、颅内血肿、脑梗死对颅脑外伤患者预后的影响。方法选取2013年1月至2015年12月东莞市第三人民医院收治的行去大骨瓣减压术治疗且随访成功的100例颅脑外伤患者作为研究对象,采取回顾性研究分析方法,统计患者术后脑膨出、颅内血肿、脑梗死等并发症发生情况,采用格拉斯哥预后评分(GOS)对患者术后6个月内的预后结局进行评估,并比较术后出现并发症与未出现并发症患者的GOS评分,计算术后并发症与预后效果之间的相关性。结果出现脑膨出、颅内血肿及脑梗死并发症患者的GOS评分均明显低于未出现并发症组,差异均有统计学意义(均P<0.05);其中脑梗死与GOS评分的相关性最为显著,呈显著相关,脑膨出、颅内血肿与GOS评分呈低度相关。结论去大骨瓣减压术治疗颅脑外伤患者临床效果显著,但术后患者易并发脑膨出、颅内血肿、脑梗死,对预后极为不利,且脑梗死对颅脑外伤患者的预后影响较大。
Objective To analyze the occurrence of complications such as encephalocele, intracranial hematoma and cerebral infarction after craniocerebral trauma to decompressive craniectomy, and to explore the effect of postoperative encephalocele, intracranial hematoma and cerebral infarction on the prognosis of patients with craniocerebral trauma influences. Methods One hundred patients with craniocerebral trauma who were successfully treated with decompressive craniectomy in Dongguan Third People’s Hospital from January 2013 to December 2015 were enrolled in this study. Retrospective study and analysis methods were used Patients with postoperative encephalocele, intracranial hematoma, cerebral infarction and other complications, the use of Glasgow prognostic score (GOS) prognosis of patients within 6 months after the outcome assessment, and compared the postoperative complications and did not appear GOS scores of patients with complications, and calculate the correlation between postoperative complications and prognosis. Results The GOS scores of patients with cerebral edema, intracranial hematoma and cerebral infarction were significantly lower than those without complications (all P <0.05). The correlation between cerebral infarction and GOS score The most significant correlation was found between edema and intracranial hematoma and GOS score. Conclusions The clinical effect of decompressive craniectomy on patients with craniocerebral trauma is significant. However, postoperative patients complicated with encephalocele, intracranial hematoma and cerebral infarction are extremely unfavorable to the prognosis. The prognosis of patients with craniocerebral trauma after cerebral infarction Larger.