去大骨瓣减压联合天幕裂孔切开治疗重型颅脑损伤合并脑疝40例
Shaanxi Medical Journal(2012)
Abstract
目的:探讨去大骨瓣减压联合天幕裂孔切开术在救治重型颅脑损伤合并颞叶钩回疝患者的临床疗效。方法:将80例重型颅脑损伤合并脑疝手术患者随机分为两组,治疗组40例行血肿清除、去大骨瓣减压联合天幕裂孔切开,对照组40例行血肿清除、去大骨瓣减压,将两组的临床效果进行对比。结果:治疗组应激性溃疡、术后脑梗塞、脑积水的发生率低于对照组,临床疗效优于对照组。结论:去大骨瓣减压联合天幕裂孔切开是治疗重型颅脑损伤合并脑疝患者的一种有效方法,能减少并发症的发生,改善患者预后。
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