重型颅脑损伤行去骨瓣减压术后常见并发症研究进展  

Research Progress of Common Complications after Decompressive Craniectomy for Severe Craniocerebral Injury

作　　者：杨信本 陆显祯[2] YANG Xinben;LU Xianzhen(Postgraduate College of Youjiang Medical College for Nationalities,Baise 533000,China;不详)

机构地区：[1]右江民族医学院研究生学院,广西百色533000 [2]文山州人民医院神经外科,云南文山663000

出　　处：《中国医学创新》2024年第4期180-183,共4页Medical Innovation of China

摘　　要：去骨瓣减压术(decompressive craniectomy,DC)是救治重型颅脑损伤(severe traumatic brain injury,STBI)的主要手术方式之一,其手术方式主要为去除颅骨的一部分,并打开硬脑膜,代偿颅腔内容积,从而减少肿胀脑组织、血肿等对重要脑功能区和脑干等生命中枢的压迫。当STBI患者行DC后并发症比较多,如:颅内感染、硬膜下积液、脑积水、创伤性癫痫、脑膨出、切口疝、脑脊液漏、大面积脑梗死等,可能导致预后不良,现将STBI行DC术后并发症发生情况及处理等综述如下。Decompressive craniectomy(DC)is one of the main surgical methods for the treatment of severe traumatic brain injury(STBI).The main surgical method is to remove part of the skull,open the dura mater and compensate the volume of the cranial cavity,thereby reducing the pressure of swelling brain tissue and hematoma on important brain functional areas and brainstem.There are many complications after DC in STBI,such as intracranial infection,subdural effusion,hydrocephalus,traumatic epilepsy,encephalocele,incisional hernia,cerebrospinal fluid leakage,large area cerebral infarction,etc.,which may lead to poor prognosis.The occurrence and treatment of complications after DC in STBI are summarized as follows.

关 键 词：去骨瓣减压术 重型颅脑损伤 并发症 

分 类 号：R651.15[医药卫生—外科学]