三种策略在额叶脑挫裂伤治疗中的应用  

Application of three strategies in the treatment of frontal lobe contusion

作　　者：黄敏东[1] 邹剑丹[1] 

机构地区：[1]揭阳市人民医院神经外科,522000

出　　处：《中国实用医药》2015年第18期78-80,共3页China Practical Medicine

摘　　要：目的探讨三种策略在额叶脑挫裂伤治疗中的应用。方法 163例额叶脑挫裂伤患者根据病情轻重分为三组,分别采用保守治疗(118例)、脑内血肿钻孔引流(15例)及开颅脑内血肿清除去骨瓣减压(30例)三种策略进行治疗。结果保守治疗组(第一组)恢复良好105例(89.0%),轻度残疾13例(11.0%)。钻孔引流组(第二组)恢复良好10例(66.7%),轻度残疾4例(26.7%),重度残疾1例(6.7%)。开颅手术组(第三组)恢复良好15例(50.0%),轻度残疾5例(16.7%),重度残疾3例(10.0%),植物生存2例(6.7%),死亡5例(16.7%)。结论根据不同病情采用三种策略治疗额叶脑挫裂伤,可提高生存率,减少创伤,提高生活质量。Objective To investigate application of three strategies in the treatment of frontal lobe contusion. Methods A total of 163 patients with frontal lobe contusion were divided by their severity into three groups. They received respectively conservative treatment（118 cases）, intracerebral hematoma trepanation and drainage（15 cases）, and decompressive craniotomy intracerebral hematoma clearance（30 cases）. Results There were 105 cases with good recovery（89.0%） and 13 cases with mild disability（11.0%） in the conservative treatment group（first group）. There were 10 cases with good recovery（66.7%）, 4 cases with mild disability（26.7%） and 1 case with severe disability（6.7%） in the trepanation and drainage group（second group）. There were 15 cases with good recovery（50.0%）, 5 cases with mild disability（16.7%）, 3 cases with severe disability（10.0%）, 2 cases with persistent vegetative state（6.7%） and 5 death cases（16.7%） in the craniotomy group（third group）. Conclusion Implement of three strategies by different disease condition can reduce invasion, and improve survival rate and life quality.

关 键 词：额叶脑挫裂伤 保守治疗 脑内血肿钻孔引流术 去骨瓣减压术 

分 类 号：R651.15[医药卫生—外科学]