CAJ | 학술논문

目的探讨大骨瓣开颅个体化减压术对重型颅脑损伤脑疝患者的手术方法和治疗效果.方法回顾性分析2007年1月至2010年9月采用大骨瓣开颅个体化减压术治疗98例重型颅脑损伤脑疝患者的效果.结果伤后6个月GOS评估法判定其疗效:良好(5分)27例,中残(4分)23例,重残(3分)28例,植物生存(2分)6例,死亡(1分)14例;预后较好(良好和中残)者占51％,预后较差或差(重残、植物生存和死亡)者占49％.结论大骨瓣开颅个体化减压术治疗重型颅脑损伤脑疝患者有较好疗效,能有效降低大骨瓣减压术后并发症的发生.
목적 탐토대골판개로개체화감압술대중형로뇌손상뇌산환자적수술방법화치료효과.방법 회고성분석2007년1월지2010년9월채용대골판개로개체화감압술치료98례중형로뇌손상뇌산환자적효과.결과 상후6개월GOS평고법판정기료효:량호(5분)27례,중잔(4분)23례,중잔(3분)28례,식물생존(2분)6례,사망(1분)14례;예후교호(량호화중잔)자점51％,예후교차혹차(중잔、식물생존화사망)자점49％.결론 대골판개로개체화감압술치료중형로뇌손상뇌산환자유교호료효,능유효강저대골판감압술후병발증적발생.
Objective To investigate the clinical outcome of large decompressive craniectomy in treatment of severe traumatic brain injury combined with herniation of brain.Methods A retrospective analysis was carried out to assess the clinical outcome of large decompressive craniectomy for 98 patients with severe traumatic brain injury combined with herniation of brain enrolled from Jan.2007 to Sep.2010.Results According to the Glasgow outcome scale,there were 27 patients ( GOS 5 points) with good recovery,23 ( GOS 4 points) with moderate deficit,28 (GOS 3 points) with severe deficit,6 (GOS 2 points) under persistent vegetative status and 14 (GOS1 points) deaths at the end of 6 month post injury.We observed a good prognosis rate (good recovery and moderate deficit) of 51％ and a poor prognosis of 49％.Conclusion Large decompressive craniectomy can significanty improve the outcome and reduce complications of patients with severe traumatic brain injury combined with herniation of brain.