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| 翼-颞联合入路去骨瓣减压术治疗大面积脑梗死 | |
| 引用本文： | 蔡恩源,白志强,董玲,刘世峰.翼-颞联合入路去骨瓣减压术治疗大面积脑梗死[J].中华神经外科疾病研究杂志,2010,9(1):69-72. |
| 作者姓名： | 蔡恩源 白志强 董玲 刘世峰 |
| 作者单位： | 1. 青岛大学医学院附属医院,神经外科,山东,青岛,266003 2. 山东省青岛疗养院老年病科,山东,青岛,266003 3. 青岛大学医学院附属医院,影像科,山东,青岛,266003 |
| 基金项目： | 国家十一五科技支撑课题基金资助项目 |
| 摘 要： | 目的探讨对符合适应证的大面积脑梗死的患者行“翼-颞联合入路”去骨瓣减压术后的临床效果。方法回顾性分析2006年8月至2008年8月间收治34例大面积脑梗死病例，24例行标准大骨瓣减压术（标准组），10例行“翼-颞联合入路”去骨瓣减压术（改良组），以Barthel指数（BAI）和格拉斯哥预后评分（GOS）评定临床效果。结果术后1d，两组脑组织膨出体积比例差异有显著性（t=2．788，P〈0．05）。所有患者均获随访。术后3、6个月，两组病死率比较差异无显著性（P=0．291，0．148，P〉0．05）；而术后3、6个月BAI、GOS评分比较差异都有显著性（t=7．329，4．076，8．734，3．818；P〈0．05）。结论翼-颞联合入路去骨瓣减压术具有操作简便，暴露及减压充分等优点，根据患者的具体情况进行翼-颞联合入路去骨瓣减压术是一种较好的治疗大面积脑梗死的方法。 |
| 关 键 词： | 翼-颞联合入路 大面积脑梗死 大骨瓣减压 皮层静脉 |
Decompressive craniectomy via pterion-temple approach for treatment of massive cerebral infarction |
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| CAI Enyuan,BAI Zhiqiang,DONG Ling,LIU Shifeng.Decompressive craniectomy via pterion-temple approach for treatment of massive cerebral infarction[J].Chinese Journal of Neurosurgical Disease Research,2010,9(1):69-72. | |
| Authors: | CAI Enyuan BAI Zhiqiang DONG Ling LIU Shifeng |
| Institution: | CAI Enyuan1,BAI Zhiqiang1,DONG Ling2,LIU Shifeng31Department of Neurosurgery,3Department of Diagnostic Imaging,Affiliated Hospital,Medical College,Qingdao University,2Department of Geratology,Convalescent Hospital,Qingdao 266003,China |
| Abstract: | Objective To explore clinical effects of large decompressive craniectomy by pterion-temple approach (P-TA) for treatment of indicative massive cerebral infarction. Methods A total of 34 cases who underwent decompression by standard craniectomy or P-TA craniectomy for treating massive cerebral infarction between 2006 and 2008 were reviewed and analyzed retrospectively. The curative effect was evaluated according to Barthel Index (BAI) and Glasgow Outcome Score (GOS). Results The ratios of bulged brain tissue... |
| Keywords: | Pterion-temple approach Massive cerebral infarction Decompressive craniectomy Cortex Vein |
| 本文献已被 CNKI 维普 万方数据 等数据库收录！ | |