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目的总结老年人额叶脑挫裂伤行微创手术治疗的经验。方法对我科自2000年至2005年底收治的31例老年人额叶脑挫裂伤病人在3～7d保守治疗后,行经皮微创穿刺碎吸血肿及坏死脑组织手术处理。结果临床死亡一例,其余病例经随访半年以上,按GOS评分分为恢复良好20例,中残10例,无重残病例。结论对老年人额叶脑挫裂伤的治疗在加强监护,病情相对稳定的情况下,保守治疗3～7d后行经皮锥颅微创穿刺碎吸术治疗,可促使患者早日康复,减少并发症的发生,提高生存率及生存质量。
Objective To summarize the experience of minimally invasive surgical treatment of frontal lobe contusion in the elderly. Methods Thirty-one elderly patients with frontal lobe contusion and laceration who were treated in our department from the year 2000 to the end of 2005 were treated with percutaneous minimally invasive aspiration and necrotic brain tissue after conservative treatment for 3-7 days. Results A case of clinical death, the remaining cases were followed up for more than six months, according to the GOS score was recovered in 20 cases, 10 cases of disability, no severe disability cases. Conclusion The treatment of frontal lobe cerebral contusion in elderly patients with intensive care, the condition is relatively stable, 3 to 7 days after conservative treatment of percutaneous cranial minimally invasive puncture and suction therapy can promote the patient’s recovery, reduce complications The occurrence of increased survival and quality of life.