摘要
目的:探讨扩大翼点入路在额颞对冲性颅脑损伤中的应用。方法:对80例额颞对冲伤患者分别采用传统手术入路(26例)和扩大翼点入路(54例)治疗,并进行对比。结果:根据GOS预后评价标准,传统额颞瓣入路手术治疗组26例中,恢复良好7例,重残2例,植物生存1例,死亡14例,病死率53.84%;经扩大翼点入路手术治疗54例中,恢复良好24例,中残6例,重残3例,植物生存2例,死亡19例,病死率35.18%;两组比较,恢复良好率、病死率均有显著性差异(P<0.05),改良的扩大翼点入路患者的预后明显优于额颞瓣入路患者(P<0.05)。结论:扩大翼点入路手术在治疗额颞对冲性颅脑损伤中具有明显优越性。
Objective：To explore the methods of treating fronto-temporal contrecoup injury by microsurgery through modified pterional approach.Methods：80 patients with fronto-timporml contrecoup injury,26 were treated by traditional fronto-temporal craniotomy and 54 by microsurgery through modified pterional approach from 2002 to 2006.Results：The mortality rate and cure rate in traditional fronto-temporal craniotomy group were 53.84%（14/26） and 26.92%（7/26） respectively,and these in the craniotomy through modified pterional approach were 35.18%（19/54） and 44.44%（24/54） respectively.There were significantly differences in the mortality rate and cure rate between both the group（P0.05）.Conclusion：The microsurgery through the modified pterional approach is an effective method of treating fronto-temporal contrecoup injury.
出处
《陕西医学杂志》
CAS
2010年第9期1150-1151,1158,共3页
Shaanxi Medical Journal
关键词
颅脑损伤/外科学
对比研究
外科手术/方法
Craniocerebral trauma/surgery Comparative study Surgical procedures operative/methods
