CAJ | 학술논문

目的：探讨经额颞顶枕超大骨瓣减压联合血肿清除术治疗重型颅脑损伤的临床价值。方法选取2009-01-2013-07我科收治的重型颅脑损伤患者114例，根据治疗方法不同分为2组，观察组64例行经额颞顶枕超大骨瓣手术治疗，对照组50例行标准大骨瓣手术治疗。结果2组治疗后GCS评分均较治疗前明显提高，观察组改善更为显著。术后随访3个月，观察组患者恢复良好率、轻残率显著高于对照组，重残率与病死率比对照组显著降低。结论经额颞顶枕超大骨瓣治疗重型颅脑损伤，能够耐受麻醉，提倡尽早、积极手术，能够明显改善患者术后GCS评分，改善患者预后，降低重残率与病死率，具有较高临床应用价值。
목적：탐토경액섭정침초대골판감압연합혈종청제술치료중형로뇌손상적림상개치。방법선취2009-01-2013-07아과수치적중형로뇌손상환자114례，근거치료방법불동분위2조，관찰조64례행경액섭정침초대골판수술치료，대조조50례행표준대골판수술치료。결과2조치료후GCS평분균교치료전명현제고，관찰조개선경위현저。술후수방3개월，관찰조환자회복량호솔、경잔솔현저고우대조조，중잔솔여병사솔비대조조현저강저。결론경액섭정침초대골판치료중형로뇌손상，능구내수마취，제창진조、적겁수술，능구명현개선환자술후GCS평분，개선환자예후，강저중잔솔여병사솔，구유교고림상응용개치。
Objective To investigate the curative effect of large bone flap via frontotemporal top pillow treating patients with severe craniocerebral injury.Methods 114 patients with severe craniocerebral injury in our hospital from January 2009 to July 2013 were divided into the observation group (n=64 ,treated with large bone flap via frontotemporal top pillow ) and the control group (n=50 ,treated with standard large craniectomy ).Results GCS scores of two groups after treatment were more than these before treatment ,especially in the observation group. The results of postoperative follow-up of 3 months showed that the recovery and light disability rate of observation group were higher than these of control group ,and the severe disability rate and death rate of observation group were lower than these of control group.Conclusion Large bone flap via frontotemporal top pillow has more curative effect on treating patients with severe craniocerebral injury ,which can improve the postoperative GCS scores and the prognosis of patients with severe craniocerebral injury .