大骨瓣减压术治疗大面积脑梗死的手术指征以及手术时机和治疗效果  

Surgical indications for large area cerebral infarction with large bone flap decompression and the timing and treatment effect

作　　者：朱守明[1] Zhu Shouming(Department of Neurosurgery,Peixian People＇s Hospital,Xuzhou,Jiangsu,221600,China)

机构地区：[1]沛县人民医院神经外科,江苏徐州221600

出　　处：《当代医学》2018年第31期109-111,共3页Contemporary Medicine

摘　　要：目的探讨大骨瓣减压术治疗大面积脑梗死的手术指征、手术时机以及治疗效果。方法选取本院2015年1月～2017年12月间收治的大面积脑梗死并接受大骨瓣减压术治疗的患者48例作为研究对象,以同期在本院接受诊疗,但选择内科治疗的35例大面积脑梗死患者作为对照,比较两组患者治疗前后的日常生活能力、神经功能缺损程度以及治疗效果。结果研究组患者治疗后的NIHSS、ADL评分改善程度、生存率、预后优良率均显著高于对照组,比较差异有统计学意义(P<0.05)。结论大骨瓣减压术治疗大面积脑梗死的效果显著,但在手术治疗时要严格掌握其指征,选择合适的治疗时机。Objective To investigate the indications, timing and the effect of large bone flap decompression for massive cerebral infarction.Methods 48 patients with large area cerebral infarction treated in our hospital from January 2015 to December 2017 were treated with large boneflap decompression. The daily living ability, the degree of nerve function defect and the therapeutic effect of 35 patients treated with internal medicinewere compared. Results The improvement degree, survival rate and good prognosis of the NIHSS and ADL scores in the study group were significantlyhigher than those in the control group, and the difference was statistically significant （P〈0.05）. Conclusion Large bone flap decompressionis effective in the treatment of massive cerebral infarction, but it is necessary to strictly grasp its indications and choose the right time to treat it.

关 键 词：大骨瓣减压术 大面积脑梗死 手术指征 手术时机 治疗效果 

分 类 号：R651.12[医药卫生—外科学]