额颞枕顶超大骨瓣减压术对幕上恶性脑梗塞的临床疗效研究  

Modified Large Craniotomy for Decompression of Frontal Parietal Temporal and Occipital Lobes for Treatment of Patients with Supra-tentorial Malignant Infarcts

作　　者：黎乾科[1] 姚庆宁[1] 唐协林[1] 刘胜华[1] 罗静[1] 肖奎[1] 钟俊[1] 赵超[1] 

机构地区：[1]四川省三台县人民医院,四川三台621100

出　　处：《河北医学》2015年第6期934-937,共4页Hebei Medicine

摘　　要：目的:评估额颞枕顶超大骨瓣减压术对幕上恶性脑梗塞(supra-tentorial malignant infarcts,STMBI)的临床疗效。方法:采用前瞻性研究的方法,将临床和放射学诊断为STMBI的患者分为手术组和对照组,比较两组的术后死亡率;随访1年后比较两组患者的格拉斯哥预后评分(GOS)、Barthal指数。结果:本次研究共纳入共26例研究对象,其中手术组13例,对照组13例。术前两组年龄、GCS比较差异无统计学意义。随访1年结果显示,手术组和对照组1年生存率分别为为84.6%和69.2%(p>0.05)。格拉斯哥预后评分(GOS)、Barthal指数在手术组更好(p<0.05)。结论:STMBI患者早期行额颞枕顶超大骨瓣减压术与保守治疗相比,不仅降低了死亡率,还改善了预后。Objective：To evaluate the clinical efficacy for supra-tentorial malignant infarcts （ STMBI ） of craniotomy surgery in pillow top frontotemporal. Method： Using the prospective study, the STMBI patients diagnosed in clinical and radiographic were divided into surgery group and the control group, and compared the postoperative mortality of the two groups. After 1-year follow-up, compared the Glasgow outcome scale （GOS） and Barthal index between the two groups. Result： The present study included a total of 26 subjects, 13 cases in surgery group and 13 in control group. There＇s no significant difference in age and GCS between two groups. The results of 1-year follow-up showed that the survival rate in surgery group and the control group were 84.6% and 69.2% respectively （P〉0.05）. GOS and Barthal index in surgery group were better than control group （ P 〈 0.05 ）. Conclusion ： Compared with conservative treatment, supra- tentorial malig- nant infarcts （ STMBI） of craniotomy surgery in pillow top frontotemporal can not only reduce mortality but also improve the prognosis.

关 键 词：额颞枕顶超大骨瓣减压术 幕上恶性脑梗塞 临床疗效 

分 类 号：R651.12[医药卫生—外科学]