大骨瓣减压术治疗重型颅脑外伤156例  

Large Trauma Craniotomy for Severe Traumatic Brain Injury:Report of 156 Cases

作　　者：邓磊[1] 钱锁开 杨绮帆[1] 

机构地区：[1]中国人民解放军第九四医院神经外科,南昌330002

出　　处：《江西医学院学报》2009年第8期71-73,共3页Acta Academiae Medicinae Jiangxi

摘　　要：目的探讨大骨瓣减压术治疗重型颅脑外伤的临床疗效。方法156例重型颅脑外伤病人均行大骨瓣减压术治疗，并按格拉斯哥预后分级（GOS）判断预后。结果156例病人术后随访3-6个月，5级52例，4级32例，3级27例，2级11例，1级34例。结论早期彻底的大骨瓣减压术可以明显改善重型颅脑外伤病人的预后，提高疗效，降低病死率及伤残率。Objective To explore the clinical effect of large trauma craniotomy for severe trau- matic brain injury. Methods 156 patients with severe traumatic brain injury were treated by large trauma craniotomy. The clinical effect was assessed according to glasgow outcome scale（GOS）. Results All patients were followed up for 3 to 6 months after operation. 52 cases in five grade,32 cases in four grade,27 cases in three grade, 11 cases in two grade,34 cases in one grade. Conclusion Early and thoroughly large trauma craniotomy can significantly improve prognosis and curative effect in patients with severe traumatic brain injury,and reduce the mortality and disability rate.

关 键 词：重型颅脑外伤 大骨瓣减压术 手术治疗 

分 类 号：R765.11[医药卫生—耳鼻咽喉科]