颞肌脑贴合术治疗外伤性脑缺血偏瘫的临床疗效  

Clinical Observation on the Efficacy in Treatment for Hemiplegia of Traumatic Cerebral Ischemia by Operation of Temporal Muscle Cerebral Cortex Adhesion

作　　者：曾祥富[1] 屈全福[1] 张晓海[1] 胡涛[1] 梁青松[1] 

机构地区：[1]湖南省怀化市第一人民医院,怀化418000

出　　处：《湖南医学》2000年第1期17-19,共3页Hunan Medical Journal

摘　　要：目的比较外伤性脑缺血偏瘫患者手术与非手术治疗的临床疗效。方法手术组30例,在肢体偏瘫对侧颞部,采用带蒂颞肌瓣、颞肌筋膜、颞浅动脉(血管)筋膜瓣行大脑皮层贴合术。对照组20例,常规内科治疗。结果手术组总有效率86.7%,对照组总有效率为60%,两组比较差异有显著性(χ2=6.35,P<0.05),而病程在6个月内以手术疗效最为显著,治愈率为62.5%。结论采用脑肌血管共生术治疗外伤性脑缺血偏瘫,能改善患者神经功能缺损,降低致残率。ObjectiveTo compare the clinical efficacy in treatment of patients with hemiplegia of traumatic cerebral ischemia by operation and non operation.MethodsIn 30 cases,operations of temporal muscle cerebral cortex adhesion were performed on the temporal region opposite to the hemiplegic extremity by using pedicles of temporal muscle flap,temporal fasciae and fascia flaps of superficial temporal artery.Twenty cases of control group were treated with routine therapy of internal medicine.ResultsThe total effective rate of operative group was 86.7%,while that of non operative group was 60%.Significant difference existed between both groups (χ 2=6.35,P<0.05).The operation was most effective in those patients with course of disease with in 6 months,reaching a cure rate of 62.5%.ConclusionsThe treatment of patients with hemiplegia of traumatic cerebral ischemia by operation of temporal muscle cerebral cortex adhesion can rehabilitate their neural function and decrease disability,which is a effective remedial measure in clinical application.

关 键 词：脑缺血 偏瘫 脑血管重建术 外伤性 颞肌脑贴合术 

分 类 号：R651.12[医药卫生—外科学]