摘要
目的探讨采用大骨瓣减压加血管通道建立的方法治疗大面积脑梗死的效果及手术时机。方法对24例经CT、MRI证实为大面积脑梗死患者采用12cm×15cm大骨瓣减压加明胶海绵支架建立血管通道的方法进行治疗。结果24例患者20例存活,4例死亡。7例早期手术者均存活。结论大骨瓣减压加血管通道的建立是治疗大面积脑梗死的有效方法,早期手术效果更好。
Objective To study the effect and operative time of large craniotomy and vascular tunnel creation on patients with massive cerebral infarction. Methods 24 patients with massive Cerebral infarction proved by CT and MRI were treated by 12 cm× 15 cm large craniotomy and vascular tunnel creation with gelatin sponge. Results 20 patients survived and 4 died. Of 7 patients with early surgery survived. Conclusions Large craniotomy and vascular tunnel creation is an effective method for patients with massive cerebral infarction, and early operation is more effective.
出处
《临床神经外科杂志》
CAS
2006年第4期154-156,共3页
Journal of Clinical Neurosurgery
关键词
大面积脑梗死
大骨瓣减压
血管通道的建立
massive cerebral infarction
large craniotomy
vascular tunnel creation
