中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2010年
23期
14-15
,共2页
颅脑损伤%对冲伤%低位大骨瓣
顱腦損傷%對遲傷%低位大骨瓣
로뇌손상%대충상%저위대골판
Brain injury%Contrecoup%Low large trauma craniectomy
目的 探讨低位大骨瓣开颅术治疗额颞顶部广泛对冲伤的临床应用价值.方法 采用低位大骨瓣开颅术对46例额颞顶部广泛对冲伤患者进行手术治疗,术后3~6个月采用格拉斯哥预后分级标准进行临床疗效的评定,并对并发症进行分析.结果 46例中预后良好22例(47.83%),中度残疾6例(13.04%),重度残疾4例(8.7%),死亡14例(30.43%),术后主要并发症为迟发性颅内血肿、脑穿通畸形、脑积水、颅骨缺损综合征等.结论 低位大骨瓣开颅术是治疗额颞顶广泛对冲伤(尤其是单侧)的良好手术方式.
目的 探討低位大骨瓣開顱術治療額顳頂部廣汎對遲傷的臨床應用價值.方法 採用低位大骨瓣開顱術對46例額顳頂部廣汎對遲傷患者進行手術治療,術後3~6箇月採用格拉斯哥預後分級標準進行臨床療效的評定,併對併髮癥進行分析.結果 46例中預後良好22例(47.83%),中度殘疾6例(13.04%),重度殘疾4例(8.7%),死亡14例(30.43%),術後主要併髮癥為遲髮性顱內血腫、腦穿通畸形、腦積水、顱骨缺損綜閤徵等.結論 低位大骨瓣開顱術是治療額顳頂廣汎對遲傷(尤其是單側)的良好手術方式.
목적 탐토저위대골판개로술치료액섭정부엄범대충상적림상응용개치.방법 채용저위대골판개로술대46례액섭정부엄범대충상환자진행수술치료,술후3~6개월채용격랍사가예후분급표준진행림상료효적평정,병대병발증진행분석.결과 46례중예후량호22례(47.83%),중도잔질6례(13.04%),중도잔질4례(8.7%),사망14례(30.43%),술후주요병발증위지발성로내혈종、뇌천통기형、뇌적수、로골결손종합정등.결론 저위대골판개로술시치료액섭정엄범대충상(우기시단측)적량호수술방식.
Objective To evaluate the value of low large trauma craniotomy in frontotemporal and parietal contrecoup craniocerebral injury. Methods Forty-six patients with frontotemporal and parietal contrecoup craniocerebral injury were treated by low large trauma craniotomy. Based on GCS, the clinical curative effect and complications of these patients during 3 to 6 months after operation were evaluated. Results Twenty-two cases (47.83%)recovered well, 6 cases(13.04%)suffered from moderate disability, 4 cases(8.7%) remained severe disability, and 14 cases (30.43%) died. The common comlications after operation were delayed intracranial hematoma, cerebral penetrating malformation, hydrocephalus, defect of skull syndrome and so on. Conclusions Low large trauma craniotomy is a good therapeutic method for frontotemporal and parietal contrecoup craniocerebral injury.
