开颅手术治疗后颅窝硬膜外血肿26例  

Surgical Operation Treatment of Posterior FossaE pidural Hematoma 26 Cases

作　　者：王加光 芦亚君 

机构地区：[1]阜新市第二人民医院(妇产医院),辽宁阜新123000

出　　处：《中国伤残医学》2015年第15期3-4,共2页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的：探讨开颅手术治疗后颅窝硬膜外血肿临床治疗效果. 方法：回顾性分析采用开颅手术治疗26例后颅窝硬膜外血肿患者病例资料,其中采用单侧枕下开颅窝硬膜外血肿清除术15例,后正中开颅清除单侧硬膜外血肿5例,双侧枕部开颅清除双侧后颅窝硬膜外血肿6 例. 结果：依据GOS判定预后,采用开颅手术治疗26例后颅窝硬膜外血肿病例中出院时5 级18例, 4级3 例,3 级2例,出院前死亡3 例,抢救治疗有效率88.46%,死亡率11.54%. 结论：经CT与MRI等影像学诊断后颅窝硬膜外血肿患者,及时地采用开颅手术治疗后颅窝硬膜外血肿可以提高临床治愈率,降低死亡率,手术方法值得临床推广应用.Objective：To explore surgical operation treatment of posterior fossa epidural hematoma clinical therapeutic effect.Meth-ods：We were retrospectively analyzed surgical operation treatment of 26 patients with posterior fossa epidural hematoma cases data, which USES the unilateral suboccipital craniotomy fossa epidural hematoma removal of 15 cases, after the middle of craniotomy to clear single epidural hematoma in 5 cases, bilateral occipital craniotomy to clear bilateral posterior fossa epidural hematoma in 6 cases.Results：Ac-cording to GOS to judge prognosis, the surgical operation treatment of 26 cases of posterior fossa epidural hematoma cases, 18 cases in dis-charge magnitude 5, 4 in 3, grade 3 in 2 cases, 3 cases died before discharge, rescue treatment effective rate was 88.46%, the mortality rate of 11.54%.Conclusion：the CT and MRI and other imaging diagnosis of posterior fossa epidural hematoma of patients, the surgical operation in a timely manner in the treatment of posterior fossa epidural hematoma can improve the clinical cure rate, reduce mortality, op-eration method is worth popularizing in clinical application.

关 键 词：后颅窝 硬膜外血肿 开颅 疗效 

分 类 号：R651.1[医药卫生—外科学]