扩大翼点入路大骨瓣开颅术救治重型颅脑损伤的疗效分析

目的探讨扩大翼点入路大骨瓣开颅术救治额颞部重型脑挫裂伤的疗效优点。方法回顾性分析了1995-01～2000-01行手术救治的GCS3～8分额颞部重型脑挫裂伤88例。其中A组48例,扩大翼点入路大骨瓣开颅手术;B组40例,单纯额部或颞部骨瓣开颅手术。结果A组患者死亡率和致残率均显著低于B组患者(P<0.05)。结论扩大翼点入路大骨瓣开颅术能显著降低重型颅脑损伤患者的死亡率和致残率。

The outcome analysis of large bone flap craniectomies to save the severe head-injured patients via extended pterional approach

Objective To investigate the good side via extended pterional approach in saving the severe contusion and laceration of frontotemporal area.Methods The88patients with scores of3-8on GCS who admitted to our department from Jan.1995to Jan.2000were analyzed retrospectively.The48patients of them operated to apply large craniectomies via extended pterional approach as one groups(A group),while other40patients via frontoal or temporal area as another group (B group).Results According to the standard of GOS prognosis,the mortality and mutilation rate of A group patients was much lower than of B group patients,by contrast there was significant difference(P<0.05).Conclusion To apply large craniectomies via extended pterional approach in the saving severe head-injured patients of frontotemporal area can significantly decrease the patients't mortality and mutilation rate,and it is worthy to popularization.