西南国防医药
西南國防醫藥
서남국방의약
MEDICAL JOURNAL OF NATIONAL DEFENDING FORCES IN SOUTHWEST CHINA
2014年
7期
756-757
,共2页
宋朝理%郑小强%庄进学%陈登奎%邓聪颖%陈宏炜%薛峰%李海龙%张炜
宋朝理%鄭小彊%莊進學%陳登奎%鄧聰穎%陳宏煒%薛峰%李海龍%張煒
송조리%정소강%장진학%진등규%산총영%진굉위%설봉%리해룡%장위
颅脑%挫裂伤%额叶%大脑镰%切开%疗效
顱腦%挫裂傷%額葉%大腦鐮%切開%療效
로뇌%좌렬상%액협%대뇌렴%절개%료효
brain%contusion%frontal lobe%falx cerebri%incision%curative effect
目的:探讨一侧入路清除双侧额底脑挫裂伤伴局部血肿的可行性及临床疗效。方法对我院2011年6月~2013年1月年共15例经损伤较重的一侧入路清除双额底脑挫伤的患者进行回顾性研究。结果术中均直视下清除双侧额底脑内血肿及挫伤坏死脑组织,其中左侧9例,右侧6例,术后 CT 检查提示脑挫伤血肿清除满意。伤后随访3个月,根据 GOS分级标准评定,恢复良好11例,中残2例,重残1例,死亡1例。结论经单侧入路清除双额底脑挫伤可行,能显著降低重型颅脑损伤患者的死亡率和致残率。
目的:探討一側入路清除雙側額底腦挫裂傷伴跼部血腫的可行性及臨床療效。方法對我院2011年6月~2013年1月年共15例經損傷較重的一側入路清除雙額底腦挫傷的患者進行迴顧性研究。結果術中均直視下清除雙側額底腦內血腫及挫傷壞死腦組織,其中左側9例,右側6例,術後 CT 檢查提示腦挫傷血腫清除滿意。傷後隨訪3箇月,根據 GOS分級標準評定,恢複良好11例,中殘2例,重殘1例,死亡1例。結論經單側入路清除雙額底腦挫傷可行,能顯著降低重型顱腦損傷患者的死亡率和緻殘率。
목적:탐토일측입로청제쌍측액저뇌좌렬상반국부혈종적가행성급림상료효。방법대아원2011년6월~2013년1월년공15례경손상교중적일측입로청제쌍액저뇌좌상적환자진행회고성연구。결과술중균직시하청제쌍측액저뇌내혈종급좌상배사뇌조직,기중좌측9례,우측6례,술후 CT 검사제시뇌좌상혈종청제만의。상후수방3개월,근거 GOS분급표준평정,회복량호11례,중잔2례,중잔1례,사망1례。결론경단측입로청제쌍액저뇌좌상가행,능현저강저중형로뇌손상환자적사망솔화치잔솔。
Objective To explore the feasibility of unilateral craniotomy for cerebral contusion in bilateral frontal lobes complicated with local hematoma via fronto-cerebral falx incision approach and the clinical curative effect. Methods A retrospective analysis was made to the clinical data of 15 cases with cerebral contusion who received unilateral craniotomy in the period from June, 2011 to Jan. ,2013. Results Hematoma and necrotic brain tissues in bilateral frontal lobes,left in 9 cases and right in 6 cases,were removed under direct vision;postoperative CT scanning showed out a satisfactory removal of the hematoma;follow-up lasted for 3 months,and GOS revealed good recovery in 11 cases,mild disability in 2 cases and severe disability in 1 case;1 case died. Conclusions It is feasible to perform unilateral craniotomy for cerebral contusion in bilateral frontal lobes,which can obviously decrease the mortality and disability rate of the patients with severe cerebral contusion.