摘要
目的探讨扩大翼点入路大骨瓣开颅+腰穿置管引流术在预防额颞部重症脑挫裂伤后并发脑积水的疗效。方法回顾性分析了1995-05～2005-05行手术救治的GCS3～8分额颞部重型脑挫裂伤260例。其中A组170例,扩大翼点入路大骨瓣开颅手术+腰穿置管持续引流;B组90例,单纯额部或颞部骨瓣开颅手术。结果A组患者脑积水发生率明显低于B组患者,且病死率和致残率亦明显低于B组,二组有显著差异(P<0.05)。结论扩大翼点入路大骨瓣开颅+腰穿置管引流术可降低重症颅脑损伤后脑积水的发生率,改善预后。
Objective To investigate prevention effect of large craniectomies via extended pterional approach and lumbar puncture drainage on incidence of hydrocephalus of the severe contusion and laceration of fronto-temporal side patients.Methods The 260 patients of severe contusion and laceration of fronto-temporal side with scores of 3-8 on GCS who admitted to our department from May. 1995 to May. 2005 were analyzed retrospectively.The patients subjected to large craniectomies via extended pterional approach and lumbar puncture drainage as one groups （A groups,170 cases）; via frontoal or temporal side as another groups （B groups,90 patients）.Results The incidence of hydrocephalus of A group was much lower than B groups,there was significantly difference（P〈0.01） between two groups.And according to the standard of GOS prognosis,the mortality and mutilation rate of A group was much lower than that of B groups,there was also significantly difference（P〈0.05） between two groups.Conclusion The procedure of large eraniectomies via extended pterional approach and lumbar puncture drainage in severe craniocerebral injuries patients could significantly decrease the patients＇t incidence of hydrocephalus and mortality and mutilation rate,thus it is benefit to prognosis of the disease.
出处
《实用医药杂志》
2006年第2期139-142,共4页
Practical Journal of Medicine & Pharmacy
关键词
重症脑挫裂伤
扩大翼点入路
大骨瓣
腰穿置管引流
脑积水
Severe contusion and laceration Extended pteriona approach Large craniectomies Lumbar puncture drainage Hydrocephalus
