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目的:探讨天幕切开脑疝复位在重型脑外伤中的应用效果。方法:选取2012年1月至2017年1月收治的170例重型脑外伤脑疝患者,依据手术方式不同将研究对象分为观察组和对照组,每组各85例,观察组患者行天幕切开脑疝复位术,对照组患者行常规开颅手术,对比两组患者的治疗效果。结果:观察组患者的中残率高于对照组(P<0.05),死亡率低于对照组(P<0.05);观察组患者的并发症发生率为16.5%,低于对照组的61.2%(P<0.05)。结论:天幕切开脑疝复位术在重型脑外伤中的应用效果较好,适合临床推广应用。
Objective: To investigate the effect of the incision of the cerebral hernia in severe traumatic brain injury. Methods: From January 2012 to January 2017,170 cases of severe traumatic brain herniation patients were selected according to different surgical methods will be divided into observation group and control group, 85 cases in each group, the observation group patients underwent celestial cut Open brain hernia reduction, control group of patients underwent conventional craniotomy, the treatment of patients in two groups compared. Results: The morbidity in observation group was higher than that in control group (P <0.05), and the mortality rate was lower than that in control group (P <0.05). Complication rate in observation group was 16.5%, lower than that in control group (61.2% (P <0.05). Conclusion: The application of canopy cut brain hernia in the treatment of severe traumatic brain injury is effective and suitable for clinical popularization and application.