中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2015年
3期
198-200
,共3页
脑损伤%小骨窗%基底节区血肿
腦損傷%小骨窗%基底節區血腫
뇌손상%소골창%기저절구혈종
Brain injuries%Small bone window%Basal ganglia hematoma
目的 探讨小骨窗清除额叶脑挫裂伤及基底节区血肿手术指征、要点及疗效.方法 对118例额叶脑挫裂伤(38例)及基底节区血肿(80例)患者行小骨窗清除手术的临床资料进行回顾分析.结果 术后以日常生活活动Barthel指数评定等级.118例患者中,术后独立(Barthel指数100分)56例(47.5％),轻度依赖(Barthel指数75 ～ 95分)34例(28.8％),中度依赖(Barthel指数50 ～70分)16例(13.6％),重度及完全依赖(Barthel指数0～ 45分)10例(8.5％),死亡2例(1.7％).结论 小骨窗清除治疗额叶脑挫裂伤及基底节区血肿具有创伤小,病灶清除干净,手术时间短,并发症少,术后恢复快,不需颅骨修补,病死率及致残率低等优点.
目的 探討小骨窗清除額葉腦挫裂傷及基底節區血腫手術指徵、要點及療效.方法 對118例額葉腦挫裂傷(38例)及基底節區血腫(80例)患者行小骨窗清除手術的臨床資料進行迴顧分析.結果 術後以日常生活活動Barthel指數評定等級.118例患者中,術後獨立(Barthel指數100分)56例(47.5％),輕度依賴(Barthel指數75 ～ 95分)34例(28.8％),中度依賴(Barthel指數50 ～70分)16例(13.6％),重度及完全依賴(Barthel指數0～ 45分)10例(8.5％),死亡2例(1.7％).結論 小骨窗清除治療額葉腦挫裂傷及基底節區血腫具有創傷小,病竈清除榦淨,手術時間短,併髮癥少,術後恢複快,不需顱骨脩補,病死率及緻殘率低等優點.
목적 탐토소골창청제액협뇌좌렬상급기저절구혈종수술지정、요점급료효.방법 대118례액협뇌좌렬상(38례)급기저절구혈종(80례)환자행소골창청제수술적림상자료진행회고분석.결과 술후이일상생활활동Barthel지수평정등급.118례환자중,술후독립(Barthel지수100분)56례(47.5％),경도의뢰(Barthel지수75 ～ 95분)34례(28.8％),중도의뢰(Barthel지수50 ～70분)16례(13.6％),중도급완전의뢰(Barthel지수0～ 45분)10례(8.5％),사망2례(1.7％).결론 소골창청제치료액협뇌좌렬상급기저절구혈종구유창상소,병조청제간정,수술시간단,병발증소,술후회복쾌,불수로골수보,병사솔급치잔솔저등우점.
Objective To explore the surgical indication,key point and curative effect of small bone window in removing the frontal brain contusion and basal ganglia hematoma.Methods The clinical data of 118 patients with frontal cerebral contusion (38 cases) or basal ganglia hematoma (80 cases) were retrospectively analyzed,and the patients were given small bone window surgery.Results The postoperative curative effect was evaluated by daily life activities Barthel index.In 118 patients,56 cases (47.5％) were postoperative independent (Barthel index 100 scores),34 cases (28.8％) were mild dependence (Barthel index 75-95 scores),16 cases (13.6％) were moderate dependence (Barthel index 50-70 scores),10 cases (8.5％) were severe and totally dependence (Barthel index 0-45 scores),and 2 cases (1.7％) were death.Conclusion Small bone window in removing the frontal brain contusion and basal ganglia hematoma has small trauma,fully removed lesions,shorter operation time,fewer complications,quicker recovery,no skull repair,and lower mortality and disability rate.
