经外侧裂脑池开放减压治疗额颞对冲性脑挫裂伤  

Opening cistern combined decompression by transsylvian surgical approach in treatment of severe bumpcontusion and laceration of brain

作　　者：曾昭明 郭予大[2] 邵强 陈秋明 冯志铁 吴分浪 

机构地区：[1]广东省阳江市人民医院神经外科,529500 [2]广东省人民医院神经外科

出　　处：《中国临床实用医学》2008年第2期31-32,共2页China Clinical Practical Medicine

摘　　要：目的总结经外侧裂脑池开放在对冲性脑挫裂伤减压术中的应用效果。方法对31例额颢对冲性脑挫裂伤术中经外侧裂入路施行鞍旁脑池和基底池开放的患者进行临床资料的进行回顾性分析。结果术后动态复查头颅CT，全部患者额颞脑挫裂伤区域未见明显脑水肿现象，2例死于脑功能衰竭，2例死于严重并发症。其余随访3～6个月，按GOS评分，良好20例，中残5例，植物状生存2例。结论额颢对冲性脑挫裂伤术中经外侧裂施行鞍旁脑池和基底池开放减压可减轻继发性脑水肿，提高临床效果。Objective To summarize the clinical effects of opening cistern combined decompression of severe bump contusion and laceration of brain by transsylvian surgical approach. Methods Clinical data from 31 cases with severe bump contusion and laceration of brain in the decompression treatment combined with opening parasellar and basal cisterns by transsylvian surgical approach was analyzed retrospectively. Results Post-operative did not show visible brain edema in severe bump contusion and laceration of brain, 2 cases died of brain exhaustion ,2 cases died of severe complications. The Glasgow Outcome Score（GOS） was determined at 3-6 months of follow-up for other 27 cases：20 cases had a good recovery,5 cases had moderate disability,2 cases were in a vegetative state. Conclusion Opening cistern combined decompression of severe bump contusion and laceration of brain by transsylvian surgical approach could alleviate secondary brain edema and improve the clinical effect for severe bump contusion and laceration of brain.

关 键 词：外侧裂入路 脑池 减压 脑挫裂伤 

分 类 号：R651.15[医药卫生—外科学] R743.34[医药卫生—临床医学]