扩大翼点入路手术治疗对冲性侧裂区脑挫裂伤  

Surgical treatment through pterional approach amplification for sylvian fissure contusion of brain

作　　者：沈礼芹[1] 蒋金泉[1] 郭建杰[1] 魏璐城[1] 赵海林[1] 

机构地区：[1]遵义医学院第五附属珠海医院脑外科,广东珠海519100

出　　处：《海南医学》2009年第11期37-39,共3页Hainan Medical Journal

摘　　要：目的探讨扩大翼点入路治疗对冲性侧裂区脑挫裂伤患者的疗效。方法回顾性分析我科收治的102例对冲性侧裂区脑挫裂伤患者,治疗组56例采用扩大翼点手术入路,对照组46例采用常规去骨瓣开颅,并进行对比分析。结果治疗组有效44例,无效12例,总有效率为78.6%;对照组有效28例,无效18例,总有效率为60.9%,两组疗效比较差异有统计学意义(P<0.05);治疗组在术后重度脑水肿发生率、脑梗死发生率低于对照组(P<0.05)。结论扩大翼点入路是治疗对冲性侧裂区脑挫裂伤一种有效的手术方式,可降低术后脑梗死及重度脑水肿的发生率,改善患者预后。Objective To study the effectiveness of pterional approach amplification （PAA） in the treatment of sylvian fissure contusion of brain. Methods 102 cases with sylvian fissure contusion of brain were divided into two groups： 56 cases were treated with PAA （PAA group） , and 46 cases were treated with conventional craniotomy（ CC, CC group）. The efficacy of surgical management in this two groups were compared and analyzed. Resuits In the PAA group, 44 cases were obtained effective outcome, 12 cases were unchanged, and the total effective rate was 78.6 % ; in the CC group, 28 cases were obtained effective outcome, 18 cases had no effect, and the total effective rate was 60.9 %. There was significant difference in the therapeutic outcome between the two groups （ P 〈 0.05 ）. The incidence of severe cerebral edema and cerebral infarction in the PAA group was signicantly lower than that in the CC group. Conclusion PAA is an effective operative mode for treating sylvian fissure contusion of brain because it can efficiently reduce the incidence of cerebral infarction and severe cerebral edema, and hence improves the prognosis of sylvian fissure contusion of brain.

关 键 词：扩大翼点入路 对冲性侧裂区脑挫裂伤 

分 类 号：R651.11[医药卫生—外科学]