论文部分内容阅读
目的探讨在脑疝形成的重型颅脑损伤患者治疗中采用改良外伤大骨瓣开颅术的方法及疗效。方法对2007年6月至2009年6月收治的41例脑疝形成的重型颅脑损伤患者,均采用改良外伤大骨瓣开颅术。回顾分析患者临床资料,总结其手术方法和技巧。结果术后随访6个月,采用格拉斯哥预后标准(GOS)评估:41例中,恢复良好17例,中残8例,重残6例,植物生存1例,死亡9例。结论改良外伤大骨瓣开颅术能清除95%单侧幕上颅内血肿,能直视下对额、颞、顶叶挫伤脑组织进行清除,其特点是尤其便于清除前、中颅凹底病变,使颅底侧方减压更充分且创伤相对较小,为脑疝形成的重型颅脑损伤救治提供了一种有效的方法 。
Objective To explore the method and effect of craniotomy using modified traumatic big bone flap in the treatment of patients with severe traumatic brain injury formed by hernia. Methods From June 2007 to June 2009, 41 patients with severe craniocerebral injury formed by hernia were treated by modified traumatic craniotomy. Retrospective analysis of clinical data, summarize the surgical methods and techniques. Results Six months after the operation, Glasgow’s prognostic criteria (GOS) were used for evaluation. Among 41 cases, 17 were well recovered, 8 were moderate disability, 6 were severe disability, 1 was plant survival and 9 were death. Conclusion Modified traumatic craniotomy can clear 95% unilateral supratentorial intracranial hematoma, can under the direct vision of the forehead, temporal and parietal contusion brain tissue removal, which is particularly easy to clear the anterior and middle cranial dimple Lesions, the skull base decompression more fully and trauma is relatively small, for the formation of severe hernia brain injury treatment provides an effective method.