双额颞脑挫裂伤早期手术治疗体会  

Early Surgical Treatment of Bilateral Frontotemporal Brain Contusion and Laceration

作　　者：牛占锋[1] 康晶[2] 李广兴[1] NIU Zhanfeng;KANG Jing;LI Guangxing(Department of Neurosurgery,the General Hospital of Ningxia Medical University,Yinchuan750004,China;Department of Otorhinolaryngology,Head and Neck Surgery,the General Hospital of Ningxia Medical University,Yinchuan750004,China)

机构地区：[1]宁夏医科大学总医院神经外科,银川750004 [2]宁夏医科大学总医院耳鼻咽喉头颈外科,银川750004

出　　处：《宁夏医科大学学报》2019年第12期1285-1287,共3页Journal of Ningxia Medical University

摘　　要：目的探讨双侧额颞脑挫裂伤患者早期施行双额颞冠状切口,清除脑挫裂伤,达到颅内减压的目的。方法回顾性分析宁夏医科大学总医院2014年4月—2018年5月收治的双侧额颞脑挫裂伤患者62例临床资料。结果62例患者中,38例(61.2%)患者术后恢复良好伴有轻度功能障碍,8例(12.9%)患者术后出现轻度残疾,在保护下可以参加工作,11例(17.7%)患者术后出现重度残疾,5例(8.1%)患者处于持续性植物状态。结论在临床上双额颞脑挫裂伤患者通常取冠状双额颞开颅,清除明显脑挫裂伤达到颅内减压的目的,对于改善预后、增加抢救成功率、减少死亡率具有明显效果。Objective To explore the effectiveness of coronal incision in patients with bilateral frontotemporal contusion to remove contusion and laceration of brain and achieve intracranial decompression.Method A retrospective analysis was conducted on 62 cases of patients with bilateral frontotemporal contusion and laceration of brain in the General Hospital of Ningxia Medical University from April 2014 to May 2018.Results Among the 62 patients,38 patients(61.2%)recovered well after surgery with mild dysfunction,8 patients(12.9%)had mild disability after surgery and could work under protection,11 patients(17.7%)had severe disability after surgery,and 5 patients(8.1%)were in a persistent vegetative state.Conclusion In clinical practice,bilateral frontotemporal craniotomy is usually taken on the patients with bilateral frontotemporal contusion to remove obvious cerebral contusion and achieve intracranial decompression,which has obvious effects on improving prognosis,increasing rescue success rate and reducing mortality.

关 键 词：双额颞脑挫裂伤 冠状切口 双额颅骨骨瓣 颅内减压 

分 类 号：R651.1[医药卫生—外科学]