开颅去骨瓣减压术在大面积脑梗死治疗中的应用  

Clinical application of decompressive craniotomy in treatment of massive cerebral infarction

作　　者：刘继新[1] 依斯哈尔[1] 王志丹[1] 迪里夏提[1] 李春丽[1] 熊志刚[1] 李文娟[1] 庾建英[1] 赵鼎[1] 

机构地区：[1]新疆维吾尔自治区人民医院北院脑科中心,新疆乌鲁木齐830054

出　　处：《局解手术学杂志》2013年第5期520-521,共2页Journal of Regional Anatomy and Operative Surgery

摘　　要：目的探讨开颅去骨瓣减压术治疗大面积脑梗死的临床效果。方法回顾分析28例行去骨瓣开颅减压术治疗的大面积脑梗死患者的临床资料(观察组),另选择25例接受内科保守治疗的脑梗死患者作对照组,比较两组患者的临床效果、生存质量及预后。结果两组术后均未见明显的并发症,观察组患者的存活率明显高于对照组,差异有统计学意义(P<0.01);观察组患者能正常生活人数及轻中度病残人数明显高于对照组,差异有统计学意义(P<0.05);对照组重度病残、植物生存及死亡人数明显高于观察组,差异有统计学意义(P<0.05)。结论积极、早期行开颅去骨瓣减压术能显著降低大面积脑梗死患者的死亡率,提高其术后生存质量。Objective To investigate the clinical effect of decompressive craniotomy in treatment of massive cerebral infarction. Methods 28 patients with massive cerebral infarction treated by decompressive craniotomy were selected as the observation group, and their clini- cal data were retrospectively analyzed. Another 25 patients treated by conservative treatment were selected as the control group. The clinical effect and survival quality and prognosis of the two groups were compared. Results There was no obvious complications occured both of the two groups, the survival rate of observation group was significantly higher than that of control group（ P 〈 0.01 ）. According to the GCS scores after treatment, the number of patients with a normal life and patients with moderate disability in observation group was obviously higher than that of the control group, while number of patients with severe disability, vegetal existence and death in the control group were significantly higher than that of the observation group （P 〈0. 05 ）. Conclusion Conduct decompressive craniotomy early and positively could reduce mortality rate and improve quality of life for patients with massive cerebral infarction.

关 键 词：大面积脑梗死 开颅去骨瓣减压术 治疗 

分 类 号：R651.11[医药卫生—外科学] R743[医药卫生—临床医学]