扩大翼点入路在额颞部颅脑损伤手术中的应用  

Surgery through extended pterional approach for frontal-temporal craniocerebral injury

作　　者：杨忠平[1,2] 石斌[3] 高海平[3] 王景云[3] 靳涛[3] 

机构地区：[1]山西医学科学院 [2]山西大医院神经外科,太原030032 [3]太原市中心医院神经外科

出　　处：《山西医科大学学报》2012年第8期617-619,共3页Journal of Shanxi Medical University

摘　　要：目的探讨手术治疗额颞部颅脑损伤的有效方法。方法采用扩大翼点入路对210例额颞部颅脑损伤进行手术治疗,并根据术中颅压情况决定去骨瓣减压的范围。结果根据格拉斯哥预后评分(GOS)结果评分,预后良好108例(51.4%),中度残废24例(11.4%),重度残废18例(8.6%),植物生存12例(5.7%),死亡48例(22.9%)。结论扩大翼点入路是治疗额颞部重型颅脑损伤的有效方法,该方法暴露范围广、骨窗大、术野清晰、减压充分、止血完善,能有效地降低病死率,减少致残率,提高生存率。Objective To investigate the efficacy of the surgical treatment for frontal-temporal craniocerebral injury. Methods All 210 patients with frontal-temporal craniocerebral injury were performed with surgery through the extended pterional approach. The range of bone decompression was judged in light of the intracranial pressure during the surgery. Results According to GOS（ Glasgow out- come scale）, 108 （ 51.4% ） of 210 cases recovered well,24 cases （ 11.4% ） got the moderate disability, 18 cases （ 8.6% ） got severe disability, 12 cases （5.7%） got vegetative state,and 48 cases（22. 9% ） died. Conclusion Surgery through extended pterional ap- proach is effective for the frontal-temporal craniocerebral injury with the advantages of extensive exposure, big bone window, clear view of operation, sufficient decompression and perfect hemostasia. And this method can reduce the mortality rate, decrease the handicapped rate and enhance the survival rate.

关 键 词：扩大翼点入路 额颞部 颅脑损伤 

分 类 号：R651.1[医药卫生—外科学]