CAJ | 학술논문

目的探讨扩大式翼点入路在重型脑挫裂伤手术中的应用及疗效。方法回顾性分析37例重型脑挫裂伤患者采用扩大式翼点入路的临床资料及手术方法。结果37例重型脑挫裂伤患者经扩大式翼点入路手术治疗后，恢复良好10例，轻残12例，中残8例，植物状态生存2例，死亡5例。结论扩大式翼点入路由于所采用的骨窗使得脑挫裂伤灶及血肿暴露更加充分，手术清除彻底，减压效果好，故可获得满意的临床效果。
목적탐토확대식익점입로재중형뇌좌렬상수술중적응용급료효。방법회고성분석37례중형뇌좌렬상환자채용확대식익점입로적림상자료급수술방법。결과37례중형뇌좌렬상환자경확대식익점입로수술치료후，회복량호10례，경잔12례，중잔8례，식물상태생존2례，사망5례。결론확대식익점입로유우소채용적골창사득뇌좌렬상조급혈종폭로경가충분，수술청제철저，감압효과호，고가획득만의적림상효과。
Objective To investigate the expansion of the type pterion surgery in severe brain injury and efficacy experience. Methods A retrospective analysis of 37 patients with severe brain injury patients to adopt the of extended pterion of clinical information and surgical methods. Results 37 patients with severe brain injury patients to expand wing point into the surgical treatment, 10 cases of good recovery, mild disability in 12 cases, in residues 9 cases, vegetative state, 23 cases, 5 cases died. Conclusion Extended pterional due to the use of bone window hematoma and contusion foci exposure fully and completely surgical removal, vacuum effect, to obtain satisfactory clinical results.