颞叶脑创伤外科治疗628例临床分析  

The clinical analysis of 628 cases temporal lobe injury treated with operation

作　　者：雍利军[1] 贾元光[1] 钟冬胜[1] 何明方[1] 龚洪福[1] 梁兴泽[1] 

机构地区：[1]广元市中心医院神经外科,四川广元628000

出　　处：《西部医学》2009年第8期1304-1305,共2页Medical Journal of West China

摘　　要：目的探讨颞叶脑创伤的手术指征和手术时机。方法回顾分析628例颞叶脑创伤患者的临床资料。结果628例患者术后3年GOS评分:良好531例(84.6%),中度残疾47例(7.4%),重度残疾33例(5.3%),死亡17例(2.7%);幕上血肿量≥30 ml 178例(28.3%)。结论颞叶脑创伤的手术指征不能硬用幕上血肿量≥30 ml、中线结构移位>10 mm的标准,要根据患者的意识、GCS评分、CT动态观察脑室系统、基底池改变情况而确定手术时机。Objective To explore the opportunity and surgical indications of temporal lobe injury. Methods 628 cases with traumatic brain injury were analyzed retrospective. Results According to the GOS standard, 531 cases （84.6%） good recovered, 47 cases（7. 4%） were middle residual, 33 cases（5.3%） complicated severe disability, 17 cases （2.7 %） died. The size of supratentorial hematoma≥30ml 178 例 （28.3 %）. Conclusion Whether the temporal lobe injury should be operated can not be decided according to the size of supratentorial hematoma or the halfway line shifting,but the awareness and GCS score of patients, dynamic observation ventricular system and basalcistern with CT.

关 键 词：颞叶 脑创伤 临床分析 

分 类 号：R651.15[医药卫生—外科学]