标准大骨瓣联合大脑镰切开术在非对称性双额叶重度脑挫裂伤中的应用  

Clinical application of asymmetry severe bifrontal contusion treated by standard craniotomy and subfalcine incision

作　　者：刘定军 张永发[2] 太柏[2] 欧阳劲松[2] 钱希颖[2] 赵建华[2] 高宝成[2] 

机构地区：[1]梁河县人民医院神经外科,德宏傣族景颇族自治州679200 [2]云南省第一人民医院神经外科,昆明650032

出　　处：《中华神经创伤外科电子杂志》2017年第3期166-168,共3页Chinese Journal Of Neurotraumatic Surgery：Electronic Edition

摘　　要：目的探讨单侧标准大骨瓣开颅联合大脑镰切开术治疗非对称性双额叶重度脑挫裂伤的疗效。方法回顾性分析自2014年1月至2015年12月于云南省第一人民医院神经外科经单侧标准大骨瓣开颅联合大脑镰切开术治疗的37例非对称性双额叶重度脑挫裂伤患者的临床资料,随访6个月,采用额叶功能评定量表(FAB)评估其额叶功能损害程度,GOS评分评估其预后恢复情况。结果 37例患者术后6 h复查,脑挫裂伤均彻底清除,无再发血肿病例;术后6个月,GOS评分5分21例,4分9例,3分5例,1分2例,无植物生存病例。FAB平均评分为13.7分。结论单侧标准大骨瓣开颅联合大脑镰切开术可用于非对称性双额叶重度脑挫裂伤的清除,且创伤小、恢复效果良好。Objective To discuss the efficiency of asymmetry severe bifrontal contusion treated by standard craniotomy and subfaleine incision. Methods Thirty-seven asymmetry severe bifrontal contusion patients treated by standard craniotomy and subfalcine incision were enrolled from January 2014 to December 2015 in Department of Neurosurgery, the First Pcople,s Hospital of Yunnan Province for the retrospective analysis, then follow-up to six months after the operation, using the FAB scale to assess the level of frontal lobe dysfunction, and utilizing the GOS score to evaluate the recover status. Results All the bifrontal contusion of the thirty-seven patients were cleared compelely, showed from the CT scan routinely 6 h after the opteration. Six months after surgery, according to the GOS classification, twenty-one patients gained five, nine patients got four, five cases received three point, and two case were one point. There is none persistent vegetable. The average FAB score of this group is 13.7. Conclusion Standard craniotomy and subfalcine incision can be used as a less traumatic method to cure the asymmetry severe bifrontal contusion, and the patients are recovered better.

关 键 词：标准大骨瓣 大脑镰切开 非对称性双额叶脑挫裂伤 

分 类 号：R651.15[医药卫生—外科学]