CAJ | 학술논문

目的探讨大骨瓣减压术治疗大面积脑梗塞的临床效果.方法 35例大面积脑梗塞患者作为研究对象,在保守治疗无效的情况下,给予大骨瓣减压术.结果所有患者均顺利完成手术.术后一年随访,ADL Ⅰ～Ⅲ 级患者24例(68.6％).结论大骨瓣减压手术能有效缓解脑内水肿,筛选合适病例和及早进行手术是保证手术效果和改善预后的重要因素.
목적 탐토대골판감압술치료대면적뇌경새적림상효과.방법 35례대면적뇌경새환자작위연구대상,재보수치료무효적정황하,급여대골판감압술.결과 소유환자균순리완성수술.술후일년수방,ADL Ⅰ～Ⅲ 급환자24례(68.6％).결론 대골판감압수술능유효완해뇌내수종,사선합괄병례화급조진행수술시보증수술효과화개선예후적중요인소.
Objective To explore the clinical effect of large decompression craniectomy in treatment for 35 cases of large area cerebral infarction.Methods 35 cases of large area cerebral infarction were given large decompression craniectomy based on no effect from conservative treatment.Results All patients were all operated successfully, and the cases of ADL Ⅰ～Ⅲ were 24(68.6％).Conclusion Large decompression craniectomy can control the increased intracranial pressure effectively,selecting proper cases and operating timely are the important factors of guaranteeing the surgery effect and improving the prognosis.