单侧开颅联合大脑镰下切开术治疗双额叶脑挫裂伤的临床疗效  

Clinical Effect of Bifrontal Contusion and Laceration Treated by Unilateral Craniotomy and Subfalcine Incision

作　　者：冯磊 林涛 车海江 刘卓 

机构地区：[1]西电集团医院神经外科,西安710077

出　　处：《神经损伤与功能重建》2016年第2期119-121,共3页Neural Injury and Functional Reconstruction

摘　　要：目的:对比单侧额颞瓣开颅联合大脑镰切开的方法治疗双侧额叶脑挫裂伤的疗效。方法:收集双侧额叶脑挫裂伤患者72例,根据手术方式分为单侧开瓣组41例和双侧去骨瓣组31例,分别采取单侧额颞瓣开颅联合大脑镰切开手术和冠状切口双额骨瓣开颅手术,比较2组手术时间、术后恢复时间、格拉斯哥预后(GOS)评分和脑损伤相关蛋白。结果:单侧开瓣组所需手术时间及住院时间少于双侧去骨瓣组(P<0.05),恢复良好率高于双侧去骨瓣组(P<0.05),且在短时间内可降低脑损伤特异性蛋白表达(P<0.05)。结论:对于双侧额叶挫裂伤患者选择单侧额颞瓣开颅联合大脑镰切开的手术方式可减少手术创伤,有利于患者预后。Objective：To discuss the efficiency of treatment for bifrontal contusion and laceration with unilateral craniotomy and subfalcine incision. Methods： Seventy-two bifrontal contusion and laceration patients were enrolled, and were divided into groups unilateral（n=41） and bilateral（n=31） according to the operation style. Unilateral group was operated by unilateral frontotemporal craniotomy and subfalcine incision, and the bilateral group was operated by bifrontal craniotomy surgery. Then compared the operative time, recovery time, GOS score and associated protein detection. Results： Compared with the bilateral group, the operative and hospital stay time of patients in unilateral group was significantly short（P〈0.05）, the good recovery rate of unilateral group was higher（P〈0.05）,and the protein was less than the bilateral group. Conclusion： The patients with bifrontal contusion and laceration treated by unilateral frontotemporal craniotomy and subfalcine incision is recovered better.

关 键 词：额叶 脑挫裂伤 单侧额颞瓣开颅联合大脑镰切开 预后 

分 类 号：R741[医药卫生—神经病学与精神病学] R651.11[医药卫生—临床医学]