[1]李云翔,费舟.脑挫裂伤手术与非手术治疗对照研究[J].临床神经外科杂志,2014,(02):140-142.
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脑挫裂伤手术与非手术治疗对照研究()
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《临床神经外科杂志》[ISSN:1672-7770/CN:32-1727/R]

卷:
期数:
2014年02期
页码:
140-142
栏目:
临床研究
出版日期:
2014-04-30

文章信息/Info

Title:
cerebral contusion of surgical and non-surgical therapy randomized controlled study
作者:
李云翔 费舟
第四军医大学西京医院神经外科
关键词:
脑挫裂伤GOS评分手术治疗非手术治疗
Keywords:
cerebral contusion GOS score surgical treatment non-surgical treatment
分类号:
R651.1
文献标志码:
D
摘要:
目的 探讨手术或非手术治疗对脑挫裂伤患者预后的 影响。方法 分析收治的170例脑挫裂伤体积在40ml-60ml脑挫裂伤患者的手术与否与预后关系,据伤后36小时内脑挫裂伤的体积分组,依据我们以往的临床经验,以50ml为分组标准进行研究,36小时以内脑挫裂伤体积小于等于50ml归为少量组(即A组),大于50ml归为多量组(即B组)。A组98例,其中手术治疗47例,非手术治疗51例。B组72例,其中手术治疗38例,非手术治疗34例。结果 对于脑挫裂伤体积在40ml-50ml的A组患者,手术和非手术治疗的残、死率比较无差异(P>0.05);但对于脑挫裂伤体积在50ml—60ml的B组患者,手术与非手术治疗的残、死率有显著差异性(P<0.01),与非手术者比较,手术者恢复良好率升高30.18%,致残率降低20.44%,死亡率降低9.76%, GOS评分提高1.11。结论 入院36小时以内脑挫裂伤体积小于等于50ml时应当多以保守治疗为主,大于50ml时应当多以手术治疗为主。
Abstract:
Objective To explore the effects of surgical or non-surgical treatment on the prognosis of patients with cerebral contusion. Methods To analysis the relationship between the methods of surgical or not surgery with prognosis of 170 cases of cerebral contusion with volumes from 42 ml to 62 ml. Patients were divided into two groups according to our clinical experience with the volume of cerebral contusion at 52 ml as criteria within 36 hours to group, in which cerebral contusion of less than or equal to 52 ml volume as a low volume group (Group A), or more than 52 ml as high volume group (Group B).In group A there were 98 cases , 47cases of them surgical treatment, the remaining non-surgical treatment. While in group B there were 72 cases, 38 cases underwent surgical treatment, the others non-surgical treatment. Results In the Group A the morbidities and mortalities of patients in surgical and non-surgical treatment group are the same(P>0.05), while the morbidities and mortalities of patients in surgical and non-surgical treatment group had significant difference (P<0.01) in which Group B the patients with surgical treatment had a higher good recovery rate by 30.18%, lower morbidities by 20.44% and mortalities by 9.76% Conclusion Within 36 hours after injury for patients with cerebral contusion volume less than or equal to 52 ml conservative treatment better choice while for patients with cerebral contusion volume more than 52 ml surgery should be considered with priority.

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备注/Memo

备注/Memo:
[收稿日期] 2013-10-20
更新日期/Last Update: 2014-04-15