蚌埠医学院学报
蚌埠醫學院學報
방부의학원학보
ACTA ACADEMIAE MEDICINAE BENGBU
2009年
7期
590-592
,共3页
脑损伤%颅骨切开术%标准外伤大骨瓣减压术%日常生活活动能力
腦損傷%顱骨切開術%標準外傷大骨瓣減壓術%日常生活活動能力
뇌손상%로골절개술%표준외상대골판감압술%일상생활활동능력
brain injuries%craniotomy standard large trauma craniectomy%activity of daily living
目的:探讨标准外伤大骨瓣减压术治疗重型颅脑损伤的手术方法和疗效.方法:回顾性分析采用标准外伤大骨瓣减压术治疗24例重型颅脑损伤患者的临床资料及疗效.结果:生存20例,生存率83.3%.病死4例,病死率16.7%.20例生存患者,术后随访12个月以上,根据日常生活活动能力分级法,Ⅰ级9例,Ⅱ级7例,Ⅲ级2例,Ⅳ级1例,Ⅴ级1例.结论:标准外伤大骨瓣减压术是治疗重型颅脑损伤患者的有效方法.
目的:探討標準外傷大骨瓣減壓術治療重型顱腦損傷的手術方法和療效.方法:迴顧性分析採用標準外傷大骨瓣減壓術治療24例重型顱腦損傷患者的臨床資料及療效.結果:生存20例,生存率83.3%.病死4例,病死率16.7%.20例生存患者,術後隨訪12箇月以上,根據日常生活活動能力分級法,Ⅰ級9例,Ⅱ級7例,Ⅲ級2例,Ⅳ級1例,Ⅴ級1例.結論:標準外傷大骨瓣減壓術是治療重型顱腦損傷患者的有效方法.
목적:탐토표준외상대골판감압술치료중형로뇌손상적수술방법화료효.방법:회고성분석채용표준외상대골판감압술치료24례중형로뇌손상환자적림상자료급료효.결과:생존20례,생존솔83.3%.병사4례,병사솔16.7%.20례생존환자,술후수방12개월이상,근거일상생활활동능력분급법,Ⅰ급9례,Ⅱ급7례,Ⅲ급2례,Ⅳ급1례,Ⅴ급1례.결론:표준외상대골판감압술시치료중형로뇌손상환자적유효방법.
Objective:To explore the surgical methods and curative efficacy of the standard large trauma craniectomy on severe traumatic brain injured patients.Methods:The clinical data and efficacy of standard large trauma craniectomy in 24 patients on severe brain trauma from January 2005 to January 2008 were retrospectively analyzed.Results:There were 20 patients who were survived in 24 patients,accounting for 83.3%.Four patients were died,the death rate was 16.7%.A follow-up of more than 12 months were conducted in the 20 survived patients according to the activity of daily living(ADL)grading system,these patients who belongs to grade Ⅰ,grade Ⅱ,grade Ⅲ,grade Ⅳ,and grade Ⅴ were 9,7,2,1 and 1 respectively.Conclusions:The curative efficacy of standdard large trauma craniectomy on severe brain trauma is good.
