冠状瓣双开门大脑镰切开重建术治疗重型颅脑损伤  

Approach of coronal valve, open both frontal sdies and cerebral falx cut-off reconstruction for severe craniocerebral trauma

作　　者：徐厚池[1] 姜宝英[1] 张玉海[1] 杨允学[1] 张俊功[1] 

机构地区：[1]济宁医学院附属日照市人民医院神经外科,山东日照276826

出　　处：《吉林医学》2009年第5期422-425,共4页Jilin Medical Journal

摘　　要：目的:探讨冠状瓣双开门大脑镰切开重建术治疗重型颅脑损伤的临床效果。方法:对252例重型颅脑损伤的不同治疗方案的结果进行了统计比较。对比不同治疗方案的生存率、死亡率、清醒时间及并发症之间的差异。结果:冠状瓣双开门大脑镰切开重建术治疗重型颅脑损伤,死亡率、并发症发生率明显低于对照组(P<0.05),生存率显著高于对照组(P<0.05),清醒时间明显短于对照组(P<0.05)。结论:冠状瓣双开门大脑镰切开重建术可以显著提高重型颅脑损伤的治疗效果。降低死亡率、并发症发生率,提高生存率及清醒率。死亡率由平均死亡率的34.92%,下降至16.12%。Objective To explore the clinical effect of approach of coronal valve, open both frontal sdies and cerebral falx cut - off reconstruction for severe craniocerebral trauma. Method For 252 cases with severe craniocerebral trauma were performed onstatistic comparion with different treatment plans, to contrast the survival rate, the death rate, the awake time and complication of different treatment plans. Results With the approach of coronal valve, open both frontal sdies and cerebral falx cut - off reconstruction, the death rate and complication were significantly lower than the control group （ P 〈 0. 05 ）, the survival rate was significantly higher than the control group （ P 〈 0.05） and the awake time was shorter than the control group （ P 〈 0.05 ）. Conclusion The approach of coronal valve, open both frontal sdies and cerebral falx cut -off reconstruction may significantly improve therapeutic efficacy of severe craniocerebral trauma, reduce the death rate and complication, improve the survival rate and the awake rate. The average death rate descends from 34.92% to 16.12%.

关 键 词：重型颅脑损伤 冠状瓣 双开门 大脑镰重建 治疗 

分 类 号：R651.15[医药卫生—外科学] R739.650.5[医药卫生—临床医学]