标准大骨瓣减压联合颞肌切除术在治疗大面积脑梗死中的应用  

Standard hemicraniectomy combined temporal muscle resection in the treatment of cerebral infarction in a large area

作　　者：冯怡墨[1] 石滴坚[1] 程泽沛[1] 孙晓川[2] 张晓冬[2] 夏海坚[2] 

机构地区：[1]重庆市第三人民医院神经科,400014 [2]重庆医科大学附属第一医院神经外科,400016

出　　处：《重庆医学》2014年第22期2873-2874,2878,共3页Chongqing medicine

摘　　要：目的探讨标准大骨瓣减压联合颞肌切除术治疗大面积脑梗死患者的效果。方法回顾重庆市第三人民医院2006年2月至2012年10月收治的大面积脑梗死患者30例,分为单纯药物治疗组(A组)、标准大骨瓣减压术联合颞肌切除术治疗组(B组)。跟踪随访两组患者死亡数及治疗后的神经功能缺损状况,对比两组患者住院死亡率以及治疗后1个月的神经功能缺损程度评分。结果治疗后,患者中线回复、病死率、痊愈率3个方面,B组优于A组。结论标准大骨瓣减压术联合颞肌切除术治疗可以有效降低患者的病死率。Objective To investigate the standard hemicraniectomy and temporal muscleresection therapeutic in the treatment effect of massive cerebral infarction patients .Methods Looking back at my hospital from February 2006 to October 2012 massive cerebral infarction patients ,30 cases were divided into two groups ,namely simple drug treatment（group A） ,the standard hemicrani-ectomy combined temporal muscleresection treatment （group B） .Followed up two groups of patients and deaths neurological deficit situation after treatment ,compared two groups of patients in hospital mortality and one month after treatment ,neurological impair-ment score .Results After treatment ,the patient midline reply ,mortality ,cure rates three aspects ,group B than the group A .Con-clusion Standard hemicraniectomy combined temporal muscle resection in the treatment can reduce the mortality rate of patients w ith active .

关 键 词：标准大骨瓣减压 颞肌切除术 大面积脑梗死 

分 类 号：R743.3[医药卫生—神经病学与精神病学]