大骨瓣开颅个体化减压术治疗重型颅脑损伤脑疝患者的效果观察  

Large decompressive craniectomy for patients with severe traumatic brain injury combined with herniation of brain

作　　者：黄金钟[1] 李亚松[1] 黄雪珠[1] 

机构地区：[1]福建医科大学附属第二医院神经外科,泉州362000

出　　处：《中国综合临床》2012年第10期1084-1086,共3页Clinical Medicine of China

摘　　要：目的探讨大骨瓣开颅个体化减压术对重型颅脑损伤脑疝患者的手术方法和治疗效果。方法回顾性分析2007年1月至2010年9月采用大骨瓣开颅个体化减压术治疗98例重型颅脑损伤脑疝患者的效果。结果伤后6个月GOS评估法判定其疗效：良好（5分）27例，中残（4分）23例，重残（3分）28例，植物生存（2分）6例，死亡（1分）14例；预后较好（良好和中残）者占51％，预后较差或差（重残、植物生存和死亡）者占49％。结论大骨瓣开颅个体化减压术治疗重型颅脑损伤脑疝患者有较好疗效，能有效降低大骨瓣减压术后并发症的发生。Objective To investigate the clinical outcome of large decompressive craniectomy in treatment of severe traumatic brain injury combined with herniation of brain. Methods A retrospective analysis was carried out to assess the clinical outcome of large decompressive craniectomy for 98 patients with severe traumatic brain injury combined with herniation of brain enrolled from Jan. 2007 to Sep. 2010. Results According to the Glasgow outcome scale,there were 27 patients （ GOS 5 points） with good recovery,23 （ GOS 4 points） with moderate deficit, 28 （GOS 3 points） with severe deficit, 6 （GOS 2 points） under persistent vegetative status and 14 （GOS 1 points） deaths at the end of 6 month post injury. We observed a good prognosis rate （good recovery and moderate deficit ） of 51% and a poor prognosis of 49%. Conclusion Large decompressive craniectomy can significanty improve the outcome and reduce complications of patients with severe traumatic brain injury combined with herniation of brain.

关 键 词：颅脑损伤 大骨瓣个体化减压术 预后 

分 类 号：R651.15[医药卫生—外科学]