额颞叶脑挫裂伤并硬膜下血肿的手术效果及预后  

Operation outcome and prognosis of frontotemporal brain contusion complicated with subdural hematoma

作　　者：侯红波 Hou Hongbo(Department of Neurosurgery,Hospital of Integrated Traditional Chinese and Western Medicine of Suzhou City,215101)

机构地区：[1]苏州市中西医结合医院神经外科,215101

出　　处：《中国社区医师》2017年第22期60-61,共2页Chinese Community Doctors

摘　　要：目的:探讨额颞叶脑挫裂伤并硬膜下血肿的手术治疗效果。方法:收治额颞叶脑挫裂伤并硬膜下血肿患者60例,随机分为观察组和对照组,分别接受标准外伤大骨瓣开颅术和常规骨瓣开颅术治疗,比较两组治疗效果。结果:治疗后,两组神经功能缺损程度和颅内压均显著改善(P<0.05)。观察组NIHSS评分、颅内压、死亡率和并发症发生率均明显低于对照组(P<0.05)。结论:标准外伤大骨瓣开颅术对于额颞叶脑挫裂伤并硬膜下血肿具有良好的治疗效果,能有效改善患者预后。Objective:To explore the operation outcome of frontotemporal brain contusion complicated with subdural hematoma.Methods:60patients with frontotemporal brain contusion complicated with subdural hematoma were selected.They were randomlydivided into the observation group and the control group.The two groups were treated with standard large trauma craniotomy andconventional craniotomy respectively.We compared the therapeutic effects of two groups.Results:Neurological deficits andintracranial pressure in the two groups were significantly improved after treatment(P<0.05).In the observation group,the NIHSSscore,intracranial pressure,mortality and complication rate were significantly lower than those in the control group(P<0.05).Conclusion:Standard large trauma craniotomy for frontotemporal brain contusion complicated with subdural hematoma had goodtherapeutic effect and can improve the prognosis of the patients.

关 键 词：额颞叶脑挫裂伤 硬脑膜下血肿 手术方法 

分 类 号：R651.15[医药卫生—外科学]