双侧额颞去骨瓣减压治疗广泛性脑挫裂伤并发脑疝的21例体会  

Craniotomy decompression of bi-fronton-temple for treatment in 21 patients with severe craniocerebral injury associated with cerebral hernia

作　　者：许波[1] 褚光[1] 任伟[1] 

机构地区：[1]安徽省蒙城县第一人民医院神经外科,蒙城233500

出　　处：《立体定向和功能性神经外科杂志》2014年第1期36-38,共3页Chinese Journal of Stereotactic and Functional Neurosurgery

摘　　要：目的探讨双侧额颞去骨瓣减压治疗广泛性脑挫裂伤并发脑疝的疗效及手术指征。方法对21例行双侧额颞去骨瓣减压治疗的广泛性脑挫裂伤伴脑疝病例进行回顾性分析。结果根据GOS评分,恢复良好4例,轻残7例,重残4例,植物生存2例,死亡4例。结论双侧额颞去骨瓣减压能有效提高广泛性脑挫裂伤并发脑疝的重型颅脑损伤患者治疗效果。Objective To explore the therapeutic effect and operating mdex of bl-trontal --emporal craniotomy decompression for the patients with severe craniocerebral injury associated with cerebral hernia. Methods Retrospective analysis was employed in 21 patients with severe craniocerebral injury associated with cerebral hernia. Results According to Glasgow healing standard evaluation,the results showed good in 4 patients, slight disability in 7 patients, severe disability in 4 patients,plant survival in 2 patients,and 4 cases were died. Conclusion Bi--frontal --temporal craniotomy decompression is an ideal method which can promote the therapeutic effect in patients with severe craniocerebral injury associated with cerebral hernia.

关 键 词：广泛性脑挫裂伤 脑疝 双侧额颞去骨瓣减压 

分 类 号：R651.15[医药卫生—外科学]