标准外伤大骨瓣减压术及多点硬脑膜开窗治疗对冲性额颞脑挫裂伤的分析  

Clinical application of standard large trauma craniectomy and multiple dural fenestrations on the treatment of brain contusion of contrecoup lesion frontotemporal

作　　者：程建杰[1] 潘云[2] 陈灿中[1] 王灿明[1] 

机构地区：[1]大理学院附属医院神经外科,云南大理671000 [2]大理学院附属医院病理科,云南大理671000

出　　处：《重庆医学》2010年第13期1703-1704,共2页Chongqing medicine

摘　　要：目的总结标准外伤大骨瓣开颅及多点硬脑膜开窗治疗对冲性额颞部脑挫裂伤的体会。方法回顾性总结本科48例对冲性脑挫裂伤采用标准外伤大骨瓣减压及多点硬脑膜开窗治疗经过。结果 48例患者中存活36例,其中恢复良好18例,中残4例,重残9例,植物生存5例,死亡12例。结论标准外伤大骨瓣减压手术及多点硬脑膜开窗治疗对冲性额颞脑挫裂伤,缓解脑水肿,提高救治成功率,改善生存质量是重要的手段。Objective To summarize the treatment of standard large trauma craniotomy and multiple dural fenestrations cerebral contusion of contrecoup lesion frontotemporal. Methods 48 cases of contreeoup lesion frontotemporal retrospectively analyzed. Results 36 of the 48 cases of patients survived. 18 cases were evaluated as good recovery,4 cases were residual,9 cases were severely disabled,and 5 cases were of survival of plants. 12 cases were reported deaths. Conclusion Standard large trauma and multiple dural fenestrations of surgery on the treatment of contrecoup lesion frontotemporal cerebral contusion,cerebral edema could ease and improve the success rate of treatment and improve patients quality of life.

关 键 词：标准外伤大骨瓣 对冲伤 多点硬脑膜开窗 

分 类 号：R651.1505[医药卫生—外科学]