外伤性颞叶钩回疝的治疗研究  

Clinical Study of Traumatic Temporal Uncinate Herniation

作　　者：黄福献[1] 刘春花[1] 冀鲲 王文岩[1] 伊力扎提[1] 任小罡 

机构地区：[1]新疆医科大学第六附属医院神经外科,新疆乌鲁木齐830000

出　　处：《临床医药文献电子杂志》2016年第54期10667-10668,共2页Electronic Journal of Clinical Medical Literature

基　　金：新疆医科大学科研创新基金项目(编号:XJ2012156)

摘　　要：目的 探究不同手术方式对外伤性颞叶钩回疝的临床疗效.方法 本次研究选取2014年2月-2016年1月我院收治重度颅脑损伤合并颞叶钩回疝的患者92例,随机分为实验组和对照组,每组46例.实验组患者接受脑疝复位术或天幕裂孔切开术联合常规手术治疗;对照组患者接受单纯常规手术治疗.结果 出院时,实验组患者21例恢复良好,11例轻度残疾,4例重度残疾,3例植物生存,10例死亡,总有效率为71.74%.出院时,对照组患者8例恢复良好,3例轻度残疾,7例重度残疾,5例植物生存,23例死亡,总有效率为50.00%.两组比较,实验组并发症发生率率显著低于对照组,实验组有效率显著高于对照组,差异有统计学意义（P〈0.05）.结论 脑疝复位术或天幕裂孔切开术联合常规手术治疗外伤性颞叶钩回疝具有疗效显著,并发症少等优势,值得临床推广.Objective To investigate the clinical effect of different surgical methods on traumatic temporal uncinate herniation. Methods In this study, 92 patients with severe traumatic brain injury combined withtemporal uncinate herniation were randomly divided into two groups （n=46）. The patients were treated by reduction of hernia cerebri or incision of the tentorium cerebelli hiatus combined with conventional surgery in the experimental group. The patients were treated by routine surgery alone in the control group. Results At discharge, the experimental group of 21 patients recovered well, 11 cases of mild disability, 4 cases of severe disability, 3 cases Plant survival, 10 cases of death, the total effective rate was 71.74%. At discharge, the control group of 8 patients recovered well, 3 cases of mild disability, 7 cases of severe disability, 5 cases of plant survival, 23 cases died, the total effective rate was 50.00%. The incidence of complications in the experimental group was significantly lower than that in the control group, and the effective rate in the experimental group was significantly higher than that in the control group, furthermore the difference was statistically significant （P〈0.05）. Conclusion Reduction of hernia cerebri or incision of the tentorium cerebelli hiatus combined with conventional surgery has adVantages in reducing complication and curative effect,so it is worth to be clinical promotion.

关 键 词：脑疝复位术 天幕裂孔切开术 颞叶钩回疝 外伤 

分 类 号：R651.1[医药卫生—外科学]