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标准外伤大骨瓣开颅术在重型颅脑损伤中的应用
引用本文:陆超鹏,叶卫东,李玉如. 标准外伤大骨瓣开颅术在重型颅脑损伤中的应用[J]. 中华神经医学杂志, 2005, 4(7): 714-715
作者姓名:陆超鹏  叶卫东  李玉如
作者单位:1. 511365,广东省增城市中新医院外科
2. 528248,广东省佛山市南海区梁植伟纪念医院外科
摘    要:
目的探讨标准外伤大骨瓣开颅减压术治疗重型颅脑损伤的效果。方法63例重型颅脑损伤患者随机分为2组:标准外伤大骨瓣组(治疗组)32例,常规骨瓣组(对照组)31例。全部病例术前均扫描证实颅内损伤情况,术后治疗方案基本相同。术后6个月临床随访进行格拉斯哥预后标准(GOS)评定。结果治疗组32例中,恢复良好15例,中残6例,重残2例,植物生存1例,死亡8例。对照组31例中,恢复良好7例,中残5例,重残2例,植物生存2例,死亡15例(P<0.05)。结论标准外伤大骨瓣开颅减压术治疗急性单侧幕上血肿、脑挫裂伤及单侧大脑半球肿胀有较确切疗效。

关 键 词:颅脑损伤 骨瓣开颅术 预后
文章编号:1671-8925(2005)07-0714-002
修稿时间:2005-01-11

Application of craniotomy with standard large flap resection in severe traumatic brain injury
LU Chao-peng,YE Wei-dong,LI Yu-Ru. Application of craniotomy with standard large flap resection in severe traumatic brain injury[J]. Chinese Journal of Neuromedicine, 2005, 4(7): 714-715
Authors:LU Chao-peng  YE Wei-dong  LI Yu-Ru
Abstract:
Objective To explore the effect of craniotomy with standard l arge flap resection in treating severe traumatic brain injury. Methods 63 cases of severe traumatic brain injury were randomly divided into 2 groups: stan dard craniotomy with large flap resection group (32 cases, treatment group) and routine craniotomy group (31 cases, control group). All the patients got their C T scan before operations and the same therapeutic methods after operations. Glas gow outcome scale(GOS) was evaluated at 6 month follow-up. Results The GO S of the treatment group: 15 cases with good recovery, 6 moderate disability, 2 severe disability, 1 vegetative state and 8 death. The GOS of the control group: 7 cases good recovery, 5 moderate disability, 2 severe disability, 2 vegetativ e state and 15 death (P<0.05). Conclusion The craniotomy with standard lar ge flap resection is effective to treat acute unilateral supratentorial hematoma , contusion and laceration of the brain and unilateral cerebral hemisphere swell ing.
Keywords:Traumatic brain injury  Craniotomy  Prognosis  
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