标准大骨瓣开颅减压术治疗重型额颞部脑挫裂伤  

Treatment of Severe Frontotemporal Cerebral Contusion and Laceration by Decompressive Craniectomy with Large Bone Flap

作　　者：项炜[1] 赵洪洋[1] 张方成[1] 林洪[1] 林宁[1] 林敏华[1] 

机构地区：[1]华中科技大学同济医学院协和医院神经外科,武汉430022

出　　处：《临床急诊杂志》2006年第5期229-230,共2页Journal of Clinical Emergency

摘　　要：目的观察应用标准大骨瓣开颅术治疗重型额颞部脑挫裂伤的疗效。方法对171例重型额颞部脑挫裂伤患者进行回顾性研究,31例采用标准大骨瓣开颅减压,140例采用常规骨瓣开颅减压,随访6个月,以格拉斯哥预后评分(GOS)评估疗效。结果标准大骨瓣开颅组中恢复良好、中残者12例,重残、长期昏迷者9例,死亡10例。常规骨瓣组:恢复良好、中残者26例,重残、长期昏迷者45例,死亡69例。两组的疗效差异有显著性(P<0.05)。结论标准大骨瓣开颅治疗重型额颞部脑挫裂伤的疗效优于常规骨瓣开颅。Objective To study the therapeutic effect of decompressive craniectomy with large bone flap on severe frontotemporal cerebral contussion and laceration. Methods 171 patients with severe frontotemporal cerebral Contusion and laceration were studied retrospectively. Decompressive craniectomy with large bone flap was performed in 31 patients and decompressive craniectomy with routine bone flap was performed in 140 patients. Patients were foLlowed up for 6 months. The effect was assessed by GOS. Results In the group of large bone flap, 12 patients had a good recovery or a moderate disability, 9 patients had a severe disability or a vegetative state and 10 patients died. In the group of routine bone flap, 26 patients had a good recovery or moderate disability, 45 patients had a severe disability or a vegetative state and 69 patients died. The difference of therapeutic effect between these two groups is significant. Condusion The effect of decompressive craniectomy with large bone flap on severe frontotemporal cerebral contusion and laceration was better than that of decompressive craniectomy with routine bone flap.

关 键 词：重型脑挫裂伤 去骨瓣减压术 大骨瓣 

分 类 号：R651.15[医药卫生—外科学]