CAJ | 학술논문

目的探索更安全、简便的小脑幕裂孔切开方法.方法对1994年7月至2006年10月收治的136例重型特重型颅脑伤合并有颞叶钩回疝患者在开颅清除血肿去骨瓣的基础上加行小脑幕裂孔切开术,采用正确的切口、合适的体位,使用特制的钩刀.结果 GCS 3～5分51例,6～8分85例,恢复良好72例(52.9%),中残21例(15.4%),重残16例(11.8%),植物生存8例(5.9%),死亡19例(14.0%).结论安全、简便的小脑幕裂孔切开术可进一步改善脑疝患者的预后.
목적 탐색경안전、간편적소뇌막렬공절개방법.방법 대1994년7월지2006년10월수치적136례중형특중형로뇌상합병유섭협구회산환자재개로청제혈종거골판적기출상가행소뇌막렬공절개술,채용정학적절구、합괄적체위,사용특제적구도.결과 GCS 3～5분51례,6～8분85례,회복량호72례(52.9%),중잔21례(15.4%),중잔16례(11.8%),식물생존8례(5.9%),사망19례(14.0%).결론 안전、간편적소뇌막렬공절개술가진일보개선뇌산환자적예후.
Objective To explore safer and more convenient operative method of tentorium cerebelli hiatus incision on the treatment of severe brain injury complicated with tentorial herniation. Method Tentorium cerebelli hiatus incision was made consuming proper incision, head position and distinctive bush-hook on 136 patients of severe and most severe brain injury complicated with tentorial herniation from July 1994 to October 2006. Results 51 cases were classified in GCS score 3～5, 85 cases in GCS score 6～8. 72 cases (52.9%) were survived in good condition, 21 cases (15.4%) had moderate disability, 16 cases (11.8%) had severe deficit, 8 cases (5.9%) were in vegetative and 19 cases (14.0%) were dead. Conclusion Patients consumed safe and convenient operative method of tentorium cerebelli hiatus incision could have a good prognosis.