CAJ | 학술논문

目的：探讨额颞去骨瓣减压在大面积脑梗死的应用指征、术式选择及其治疗效果。方法对我院自2011年1月至2013年5月收治的大面积脑梗死19例患者的临床资料进行回顾性分析，其中选择单纯去骨瓣12例，去骨瓣＋颞极切除7例。结果19例患者中存活15例、死亡4例（病死率21．6％）；15例中预后良好9例（ GOS≥3分），植物生存6例。结论积极的外科手术干预能提高大面积脑梗死患者的存活率及生存质量。手术时机的选择对于大面积脑梗死患者较为重要，去骨瓣＋颞极切除较单纯去骨瓣未显著提高治疗效果。
목적：탐토액섭거골판감압재대면적뇌경사적응용지정、술식선택급기치료효과。방법대아원자2011년1월지2013년5월수치적대면적뇌경사19례환자적림상자료진행회고성분석，기중선택단순거골판12례，거골판＋섭겁절제7례。결과19례환자중존활15례、사망4례（병사솔21．6％）；15례중예후량호9례（ GOS≥3분），식물생존6례。결론적겁적외과수술간예능제고대면적뇌경사환자적존활솔급생존질량。수술시궤적선택대우대면적뇌경사환자교위중요，거골판＋섭겁절제교단순거골판미현저제고치료효과。
Objective To explore the indication ,procedures and therapeutic effects of surgical intervention operation for massive cer -ebral infarction .Methods The clinical data of 19 patients diagnosed with massive cerebral infarction from January 2011 to May 2013 were analyzed retrospectively .Among the patients 12 cases received craniectomy and 7 cases craniectomy adding the temporal pole resection .Re-sults Of the 19 patients,15 cases survived and 4 died (CFR 21.6%);9 cases in 15 patients had good prognosis (GOS≥3 points),and 6 cases were plant survival .Conclusion Surgical intervention can significantly improve the survival rate of patients with massive cerebral in -farction.The timing of surgery for patients with massive cerebral infarction is more important to survival quality .Temporal pole resection can not significantly improve the therapeutic effect .