摘要
目的研究重型特重型颅脑损伤并侧裂血管损伤的临床特点、手术体会及术后处理。方法对我科60例重型特重型颅脑损伤伴有侧裂区血管损伤患者的临床资料进行回顾性分析。结果根据GOS预后标准：死亡15例，植物生存2例，重残10例，中残14例，良好19例。结论术中注意对外侧裂区血管的保护，采用标准外伤去大骨瓣减压手术，能提高手术疗效。
Objective To examine the clinical feature, surgical experience and postoperative treatment of severe and extremely severe traumatic brain injury concomitant with vascular injury in the lateral fissure area. Methods The clinical data about 60 cases of severe and extremely severe traumatic brain injury accompanied by vascular injury in the lateral fissure area were retrospectively analyzed. Resuits According to the GOS prognostic criteria,in this cohort, there were deaths in 15 cases, vegetative survivals in 2 cases, severe disability in 10 cases, moderate disability in 14 cases, and good status in 19 cases. Conclusion Intraoperative attention to the protection of vessels in the lateral fissure area and adoption of standard craniectomy can improve the surgery efficacy.
出处
《临床外科杂志》
2010年第7期464-465,共2页
Journal of Clinical Surgery
关键词
外侧裂区
脑挫裂伤
手术
预后
lateral fissure zone
cerebral contusion
surgery
prognosis
