中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2015年
17期
36-37
,共2页
额颞对冲性颅脑损伤%扩大翼点入路手术%传统额颞瓣入路手术
額顳對遲性顱腦損傷%擴大翼點入路手術%傳統額顳瓣入路手術
액섭대충성로뇌손상%확대익점입로수술%전통액섭판입로수술
Frontotemporal contrecoup craniocerebral injury%Extended pterional approach operation%Traditional frontotemporal flap approach operation
目的 探讨额颞对冲性颅脑损伤采用治疗扩大翼点入路手术的临床疗效.方法 选择92例额颞对冲伤患者,随机分为对照组和实验组,每组46例.对照组采用传统手术入路,实验组应用扩大翼点入路,对比分析两组患者预后.结果 参照GOS预后评测体系,接受传统额颞瓣入路手术的46例患者中,预后达到良好共14例,中残5例,重残2例,植物生存1例,死亡24例,病死率为52.17％;对照组46例患者中,预后达到良好共24例,中残8例,重残2例,植物生存2例,死亡10例,病死率为21.74％;两组预后恢复良好程度、病死率比较差异均有统计学意义(P＜0.05),改进的扩展翼点入路对患者的预后明显优于开展额颞部皮瓣法的患者(P＜0.05).结论 扩大翼点入路手术对于额颞对冲性颅脑损伤的临床疗效良好,值得临床进一步推广应用.
目的 探討額顳對遲性顱腦損傷採用治療擴大翼點入路手術的臨床療效.方法 選擇92例額顳對遲傷患者,隨機分為對照組和實驗組,每組46例.對照組採用傳統手術入路,實驗組應用擴大翼點入路,對比分析兩組患者預後.結果 參照GOS預後評測體繫,接受傳統額顳瓣入路手術的46例患者中,預後達到良好共14例,中殘5例,重殘2例,植物生存1例,死亡24例,病死率為52.17％;對照組46例患者中,預後達到良好共24例,中殘8例,重殘2例,植物生存2例,死亡10例,病死率為21.74％;兩組預後恢複良好程度、病死率比較差異均有統計學意義(P＜0.05),改進的擴展翼點入路對患者的預後明顯優于開展額顳部皮瓣法的患者(P＜0.05).結論 擴大翼點入路手術對于額顳對遲性顱腦損傷的臨床療效良好,值得臨床進一步推廣應用.
목적 탐토액섭대충성로뇌손상채용치료확대익점입로수술적림상료효.방법 선택92례액섭대충상환자,수궤분위대조조화실험조,매조46례.대조조채용전통수술입로,실험조응용확대익점입로,대비분석량조환자예후.결과 삼조GOS예후평측체계,접수전통액섭판입로수술적46례환자중,예후체도량호공14례,중잔5례,중잔2례,식물생존1례,사망24례,병사솔위52.17％;대조조46례환자중,예후체도량호공24례,중잔8례,중잔2례,식물생존2례,사망10례,병사솔위21.74％;량조예후회복량호정도、병사솔비교차이균유통계학의의(P＜0.05),개진적확전익점입로대환자적예후명현우우개전액섭부피판법적환자(P＜0.05).결론 확대익점입로수술대우액섭대충성로뇌손상적림상료효량호,치득림상진일보추엄응용.
Objective To investigate the clinical effect of enlarged pterion approach operation on frontal temporal contrecoup craniocerebral injury.Methods Ninety-two cases of craniocerebral injury were randomly divided into control group and experimental group,with 46 cases in each group.The patients in control group had traditional approach of operation,and the patients in experimental group had extended pterional approach,the prognosis was compared.Results According to the GOS prognosis evaluation system,46 patients accepted traditional frontal temporal flap approach operation,14 cases had good prognosis,5 cases of moderate disability,severe disability in 2 cases,plant survival in 1 case,24 cases died,the mortality was 52.17％.The control group of 46 patients,24 cases had good prognosis,moderate disability in 8 cases,severe disability in 2 cases,plant survival in 2 cases,10 cases died,the mortality was 21.74％.Through the comparative analysis,the favorable prognosis degree and the fatality rate between the two groups showed significant differences (P ＜ 0.05).The prognosis of extended pterional approach was obviously better than that of the frontotemporal flap method (P ＜ 0.05).Conclusions The clinical efficacy of extended pterional approach operation on frontotemporal contrecoup craniocerebral injury is good,so it is worthy of further clinical application.
