八例复杂性颅眶损伤的早期治疗  

One stage surgical repair for complex cranioorbital injury

作　　者：孙海锋[1] 吕涛[1] 李厚泽 王伟[1] 

机构地区：[1]中国医科大学第三临床学院神经外科

出　　处：《中华外科杂志》1999年第6期347-349,共3页Chinese Journal of Surgery

摘　　要：目的探讨复杂性颅眶损伤的早期手术治疗的临床效果。方法早期手术治疗包括清除颅内血肿和清除挫伤坏死脑组织，矫正颅眶畸形及视神经管减压、修补脑脊液漏。结果按颅脑损伤后恢复评价标准（ＧＯＳ）和面部整形评价标准，术后６周ＧＯＳⅠ级５例，Ⅱ级３例。４例达到整形标准优秀级，３例达到良好级。结论早期手术治疗复杂性颅眶损伤有利于颅神经功能恢复、颅眶畸形整复和防止脑脊液漏引起的颅内感染。Objective To approach clinical effect of early stage surgery on complex cranioorbital injury.Methods Surgical procedures included removal of cranlai hematoma, contusive and necrotic brain tissues, correction of cranioorbital deformity,and repair of dure mater. Results Early evaluation was completed in 6 weeks, and late evaluation was made in 6 months after surgery according to the scale of Jennett and Bonds plastic surgical outcome and Glasgow outcome scale(GOS). Six weeks after surgery, GOS grade was observed in 6 patients and GOS grade in 3 patients.Excellent scale of Jennett and Bond was seen in 4 patients and good scale in 3 patients. Cerebrospinal leakage was effectively obstructed in 5 patients. Conclusions Early stage repair for complex cranioorbital injury may be conducive to improving neural function and decreasing intracranial infection.

关 键 词：神经外科手术 颅眶损伤 

分 类 号：R651[医药卫生—外科学]