CAJ | 학술논문

目的探讨手术治疗对冲性额颞部重型颅脑损伤的有效方法 .方法采用扩大翼点入路对39例对冲性额颞部重型颅脑损伤进行手术治疗,并根据术中所见病理决定去骨瓣减压的范围.结果根据Glasgow结果评分(GOS):愈后良好16例(41%),中度残废8例(20.5%),重度残废6例(15.4%),植物生存2例(5.1%),死亡7例(17.9%).结论扩大翼点入路是治疗对冲性额颞部重型颅脑损伤的有效方法 ,该方法暴露范围广、骨窗大、术野清晰、减压充分、止血完善,能有效地降低病死率,减少致残率,提高生存率.
목적 탐토수술치료대충성액섭부중형로뇌손상적유효방법 .방법 채용확대익점입로대39례대충성액섭부중형로뇌손상진행수술치료,병근거술중소견병리결정거골판감압적범위.결과 근거Glasgow결과 평분(GOS):유후량호16례(41%),중도잔폐8례(20.5%),중도잔폐6례(15.4%),식물생존2례(5.1%),사망7례(17.9%).결론 확대익점입로시치료대충성액섭부중형로뇌손상적유효방법 ,해방법 폭로범위엄、골창대、술야청석、감압충분、지혈완선,능유효지강저병사솔,감소치잔솔,제고생존솔.
Objective To investigate the efficacy of operation for fronto - temporal severe contrecoup injury. Methods 39 patients of severe contrecoup injury got microsurgery through modified pterional approach. The range of bone decompression was judged in light of the pathology on operation. Results According to GOS, of 39 cases, there were better in 16 cases (41%) , moderate main in 8 eases (20.5%) , severe main in 6 cases (15.4%) , vegetarian in 2 cases (5.1%) and death in 7 cases (17.9%) . Conclusion Microsur-gory through modified pterional - approach is effective for fronto - temporal severe contreeoup injury with extensive exposure, big bone window, clear view of operation, sufficient decompression and perfect hemostasia. And this method can reduce mortality rate, decreasehandicapped rate and enhance survival rate.