CAJ | 학술논문

目的总结经外侧裂脑池开放在对冲性脑挫裂伤减压术中的应用效果.方法对31例额颞对冲性脑挫裂伤术中经外侧裂入路施行鞍旁脑池和基底池开放的患者进行临床资料的进行回顾性分析.结果术后动态复查头颅CT,全部患者额颞脑挫裂伤区域未见明显脑水肿现象,2例死于脑功能衰竭,2例死于严重并发症.其余随访3～6个月,按GOS评分,良好20例,中残5例,植物状生存2例.结论额颞对冲性脑挫裂伤术中经外侧裂施行鞍旁脑池和基底池开放减压可减轻继发性脑水肿,提高临床效果.
목적 총결경외측렬뇌지개방재대충성뇌좌렬상감압술중적응용효과.방법 대31례액섭대충성뇌좌렬상술중경외측렬입로시행안방뇌지화기저지개방적환자진행림상자료적진행회고성분석.결과 술후동태복사두로CT,전부환자액섭뇌좌렬상구역미견명현뇌수종현상,2례사우뇌공능쇠갈,2례사우엄중병발증.기여수방3～6개월,안GOS평분,량호20례,중잔5례,식물상생존2례.결론 액섭대충성뇌좌렬상술중경외측렬시행안방뇌지화기저지개방감압가감경계발성뇌수종,제고림상효과.
Objective To summarize the clinical effects of opening cistern combined decompression of severe bump contusion and laceration of brain by transsylvian surgical approach. Methods Clinical data from 31 cases with severe bump contusion and laceration of brain in the decompression treatment combined with open-ing parasellar and basal cisterns by transsylvian surgical approach was analyzed retrospectively. Results Post- operative did not show visible brain edema in severe bump contusion and laceration of brain,2 cases died of brain exhaustion,2 cases died of severe complications. The Glasgow Outcome Score (COS) was determined at 3-6 months of follow-up for other 27 cases:20 cases had a good recovery,5 cases had moderate disability,2 cases were in a vegetative state. Conclusion Opening cistern combined decompression of severe bump contusion and laceration of brain by transsylvian surgical approach could alleviate secondary brain edema and improve the clin- ical effect for severe bump contusion and laceration of brain.