CAJ | 학술논문

目的：分析对冲性双额叶脑挫裂伤的临床治疗方法以及对治疗结果的影响。方法选取2010年3月~2014年3月本院诊治的104例对冲性双额叶脑挫裂伤患者的临床资料，按照患者脑挫裂伤体积分为两组，对照组52例患者体积≤50ml，研究组52例患者体积跃50ml，两组患者均根据临床实际情况予以手术或非手术治疗，分析两组患者治疗后的GOC评分及临床结局。结果对照组手术治疗与非手术治疗后临床结局比较差异不明显(跃0.05)；研究组患者手术治疗后GOS评分(3.97±0.24)分高于非手术治疗后(2.85±0.22)分，残疾率、死亡率均明显低于非手术(<0.05)。结论对冲性双额叶脑挫裂伤的治疗方案，需根据临床及CT变化予以调整，对病情较重或病情加重予以急诊手术治疗，可以改善效果、降低死亡率。
목적：분석대충성쌍액협뇌좌렬상적림상치료방법이급대치료결과적영향。방법선취2010년3월~2014년3월본원진치적104례대충성쌍액협뇌좌렬상환자적림상자료，안조환자뇌좌렬상체적분위량조，대조조52례환자체적≤50ml，연구조52례환자체적약50ml，량조환자균근거림상실제정황여이수술혹비수술치료，분석량조환자치료후적GOC평분급림상결국。결과대조조수술치료여비수술치료후림상결국비교차이불명현(약0.05)；연구조환자수술치료후GOS평분(3.97±0.24)분고우비수술치료후(2.85±0.22)분，잔질솔、사망솔균명현저우비수술(<0.05)。결론대충성쌍액협뇌좌렬상적치료방안，수근거림상급CT변화여이조정，대병정교중혹병정가중여이급진수술치료，가이개선효과、강저사망솔。
Objective To analysis the relationship of outcome of contra-coup frontal contusion and their strategies.Methods 104 col ected cases of double frontal contracoup contusion from March 2010 to March 2014 in our hospital were 2-grouped based on measuring the volume of cerebral contusion on CT (50ml margin) and dif erent strategies were taken. Both groups of patients were surgical y or non-surgical y treated,according to the GCS scores and consciousness level deterioration.The outcome of the series in GOS was fol owed-up. Results No significant dif erence was found in the outcome between the surgical y treated and conservative treated in the control group( >0.05)while in the study group significant dif erence was found in the GOS score between the surgical y treated (3.97±0.24) and the non-surgical y (2.85±0.22) ( <0.05).Both disability and mortality in the surgical cases were significantly lower than those non-surgical.Conclusion As the double frontal contracoup brain contusion is a process of evolution, close monitoring on CT and consciousness is vital y decisive if the contused brain volume is large enough(50ml and up).