CAJ | 학술논문

目的：探讨双额颞部开颅一次成型去大骨瓣减压术治疗外伤性弥漫性脑肿胀的疗效。方法回顾性分析16例弥漫性脑肿胀患者手术时整块去除双额颞部骨瓣、结扎矢状窦并完全剪开大脑镰减压治疗患者的临床效果。结果格拉斯哥预后量表（GOS）评分，恢复良好7例，中度残疾3例，重度残疾1例，植物生存2例，死亡3例。治疗后中重度患者的格拉斯哥昏迷量表（GCS）评分显著优于治疗前（P ＜0．05）。结论该术式是一种安全有效的治疗外伤性弥漫性脑肿胀的方法。
목적：탐토쌍액섭부개로일차성형거대골판감압술치료외상성미만성뇌종창적료효。방법회고성분석16례미만성뇌종창환자수술시정괴거제쌍액섭부골판、결찰시상두병완전전개대뇌렴감압치료환자적림상효과。결과격랍사가예후량표（GOS）평분，회복량호7례，중도잔질3례，중도잔질1례，식물생존2례，사망3례。치료후중중도환자적격랍사가혼미량표（GCS）평분현저우우치료전（P ＜0．05）。결론해술식시일충안전유효적치료외상성미만성뇌종창적방법。
Objective To investigate the clinical therapeutic effect of the once-forming large bilateralfrontotempory decompressive craniotomy on traumatic diffuse brain swelling.Method The clinical data of 16 patients with diffuse brain swelling who had accepted the operation of the bilateral fronto-temporal decompressive craniectomy with the ligation of longitudinal sinus and the complete open of falx cerebri swelling,were analyzed retrospectively. Results According to the Glasgow outcome scale (GOS)prognostic evaluation,of 16 patients,7 had good recovery,3 moderated disability,1 severely disabled,2 in vegetable state,and 3 died.For the patients with moderate-to-severe brain injury,Glasgow coma scale(GCS)score of the post-operation was significantly superior than that of the pre-operation(P<0.05).Conclusion The clinical curative effect of the surgery is a safe,certain method for the treatment of traumatic diffuse brain swelling.