额颞部重度颅脑损伤扩大翼点入路手术治疗分析  

Therapy severe head injury in frontal lobe and temple lobe by enlarging pterion operation

作　　者：许亦群[1] 仪立志[1] 钟天安[1] 贾军[1] 尹夕龙[1] 

机构地区：[1]广东深圳市龙岗中心医院神经外科,深圳518116

出　　处：《中国实用神经疾病杂志》2006年第1期24-26,共3页Chinese Journal of Practical Nervous Diseases

摘　　要：目的探讨扩大翼点入路治疗额颞部重度颅脑损伤的临床价值。方法48例额颞部重度颅脑损伤患者均采用扩大翼点入路手术治疗方法。扩大翼点入路即在翼点入路基础上扩大暴露范围,包括额底、颞底及额颞顶较大范围。扩大翼点入路结合硬膜扩大缝合,有时采用浮动骨瓣等方法。结果康复良好20例(41.6%),中度残废9例(18.8%),重度残废7例(14.7%),植物生存4例(8.3%),死亡8例(16.7%),死亡原因为严重脑干损伤、休克、严重脑肿胀及呼吸、循环衰竭。结论扩大翼点入路手术治疗额颞部重度颅脑损伤是比较理想的入路,可减少死亡率和伤残率,提高生存质量。Objective To explore the clinical significance of treating severe head injury in frontal lobe and temple lobe with enlarging pterion operation. Methods Fourty eight cases severe head injury in frontal lobe and temple lobe were treated with enlarging pterion operation which was en- Larged the exposure range including frontal lobe, temple lobe, parietal lobe, the bottom of frontal lobe and temple lobe. Meantime the patients were treated with dura mater relaxation suture and sometime floating bone section. Results Twenty cases were good recovery（41.7% ）, 9 cases were moderate disabled（ 18.8% ）, 7 cases were severe disabled（ 14.6% ）, 4 cases were vegetable alive（8.3 % ）, 8 cases were death（ 16.7% ） because of severe brain stem injury, shock, severe brain tissue swelling, breath and circulatory failure. Conclusion The enlarging pterion operation could improve existing quality and decrease mortality and disabled rate in patients with severe head injury in frontal lobe and temple lobe.

关 键 词：翼点 颅脑损伤 额颞部 

分 类 号：R651.15[医药卫生—外科学]