扩大翼点入路在额颞部对冲性颅脑损伤中的应用

目的探讨扩大翼点入路在额颞部对冲性颅脑损伤中的应用及疗效。方法56例额颞部对冲性颅脑损伤患者行扩大翼点入路开颅术，清除血肿及额颞部失活的脑组织／去骨瓣减压。结果56例患者中，恢复良好24例（42．9％），中等度残疾5例（8．9％），重度残疾8例（14．3％），植物状态3例（5．4％），死亡16例（28．6％）。结论扩大翼点入路手术在治疗额颞部对冲性颅脑损伤时具有显露充分、视野清晰、减压彻底、术中脑膨出发生率低，脑疝易于复位等优点，可提高手术治疗效果，提高患者生存质量，降低病死率。

Extended pterion approach for treatment of parietal frontotemporal contrecoup injury

Objective To observe the effect of extended pterion approach for treatment of parietal frontotemporal contrecoup injury. Methods Fifty-six patients with parietal frontotemporal contrecoup injury were operated via extended pterion approach. The hematoma and inactive tissue in frontotemporal side were removed and then decompressive cranieetomy was applied. Results Among 56 patients, 24 cases recovered (42.9%). 5 cases became moderate disability (8.9%). 8 case had severe disability (14.3%). 3 cases remained vegetative state (5.4%)and 16 cases died (28. 6%). Conclusion Extended pterion approach for treatment of parietal frontotemporal contrecoup injury provides high-safety, excellent operation security and good recovery. It can improve quality of life and reduce mortality rate.