CAJ | 학술논문

　　目的分析去骨瓣减压术治疗大面积脑梗死的临床效果。方法回顾性分析2005年2月～2013年2月在我院进行脑梗死治疗的57例患者临床资料。结果57例患者中死亡1例，其余56例全部存活。半年后进行术后随访并根据GCS进行评分，15～13分患者35例，12～9分为20例，8～5分为2例，较治疗前均有大幅度改善。结论去骨瓣减压术手术方式较为简单，不需要特殊的手术设备，如手术适应证较为合理，手术时机较为适宜时对采用保守治疗无效的且大面积脑梗死的患者采用此方法治疗效果较为显著，值得临床上广泛的推广和应用。
　　목적분석거골판감압술치료대면적뇌경사적림상효과。방법회고성분석2005년2월～2013년2월재아원진행뇌경사치료적57례환자림상자료。결과57례환자중사망1례，기여56례전부존활。반년후진행술후수방병근거GCS진행평분，15～13분환자35례，12～9분위20례，8～5분위2례，교치료전균유대폭도개선。결론거골판감압술수술방식교위간단，불수요특수적수술설비，여수술괄응증교위합리，수술시궤교위괄의시대채용보수치료무효적차대면적뇌경사적환자채용차방법치료효과교위현저，치득림상상엄범적추엄화응용。
Objective To analyze the clinical effect of decompressive craniectomy on the patients with massive cerebral infarction. Methods The clinical data of 57 patients with cerebral infarction treated in our hospital from February 2005 to February 2013 were analyzed retrospectively. Results Of 57 cases, one case died, the remaining 56 cases all survived. All of them were followed-up after six months of post operation and graded according to the GCS, of all there were 35 cases from 15 to 13 scores, 20 cases from 12 to 9 scores, 2 cases from 8 to 5 scores, all patients improved substantially than before. Conclusion Decompressive craniectomy is a simple technique and don't need for special surgical instruments. When conservative treatment had failed, the treatment effect is significant on the patients with massive cerebral infarction as long as choosing adaptive indication and operating on proper time, so it is worthy to be applied widely.