中国综合临床
中國綜閤臨床
중국종합림상
CLINICAL MEDICINE OF CHINA
2012年
1期
70-71
,共2页
前颅底粉碎性骨折%外科手术
前顱底粉碎性骨摺%外科手術
전로저분쇄성골절%외과수술
Former skull base comminuted fracture%Surgical operation
目的 探讨创伤性前颅底粉碎性骨折的手术处理及缺损修复.方法 对47例创伤性前颅底粉碎性骨折患者临床资料进行回顾分析,结合文献对急诊处理、手术清创和缺损修复进行讨论.结果 3个月后按国际GOS预后评分标准判定,恢复良好36例,轻残6例,重残3例,死亡2例.随访发现31例完全恢复工作和生活,14例遗有不同程度的神经功能障碍,未发现有脑膜膨出.结论 彻底清创术、闭合受损局部的蛛网膜下腔、修复或重建前颅底硬脑膜、骨缺损,是手术成功的关键.
目的 探討創傷性前顱底粉碎性骨摺的手術處理及缺損脩複.方法 對47例創傷性前顱底粉碎性骨摺患者臨床資料進行迴顧分析,結閤文獻對急診處理、手術清創和缺損脩複進行討論.結果 3箇月後按國際GOS預後評分標準判定,恢複良好36例,輕殘6例,重殘3例,死亡2例.隨訪髮現31例完全恢複工作和生活,14例遺有不同程度的神經功能障礙,未髮現有腦膜膨齣.結論 徹底清創術、閉閤受損跼部的蛛網膜下腔、脩複或重建前顱底硬腦膜、骨缺損,是手術成功的關鍵.
목적 탐토창상성전로저분쇄성골절적수술처리급결손수복.방법 대47례창상성전로저분쇄성골절환자림상자료진행회고분석,결합문헌대급진처리、수술청창화결손수복진행토론.결과 3개월후안국제GOS예후평분표준판정,회복량호36례,경잔6례,중잔3례,사망2례.수방발현31례완전회복공작화생활,14례유유불동정도적신경공능장애,미발현유뇌막팽출.결론 철저청창술、폐합수손국부적주망막하강、수복혹중건전로저경뇌막、골결손,시수술성공적관건.
Objective To study the surgical treatment and defect repair of the former skull base comminuted fracture.Methods Clinical data of 47 patients were retrospectively analyzed and emergency treatment,surgical debridement and defect repair were discussed consulting the literature..Results Restore score was determined according to international standards after surgical treatment for 3 months,in all cases,36 cases restored good,6 cases with light disability,3 cases with severe disability,2 cases died.Subsequent following-up revealed 31 cases completely recovered for normal work and life,14 patients survived in varying degrees of neurological function obstacles without encephalomeningocele.Conclusion The successful surgery is determined by thorough debridement,closing the damaged local subarachnoid,repairing reconstruct former dural skull base and defective bones.
