摘要
目的:探讨额极入路内减压及外减压对于单侧额叶挫伤伴颅内血肿的可行性。方法:回顾性分析2006年9月至2011年1月收住院的单侧额叶挫伤伴颅内血肿患者62例,全部行额极入路内减压及外减压术治疗。结果:随访0.5～1年,按GOS评分,恢复良好46例,轻残13,死亡3例。结论:经额极入路治疗单侧额叶脑挫裂伤伴颅内血肿,可避免传统标准去大骨瓣减压术引起的急性脑膨出、脑嵌顿引起的严重后果,对脑干的轴性减压可达到对脑干有效减压的目的,而且方便再次行颅骨成形术。
Objective： To explore the practicability of treating unilateral frontal injury with hematoma by forehead extremely reducing pressure inside and outside. Methods ： A retrospective analysis was made among the 62 patients who had unilateral fron- tal injury with hematoma treated from Sept. 2006 to Jan. 2011 in our hospital. They were all treated by forehead extremely reduc- ing pressure inside and outside. Results ： According to GOS, the result of a follow - up of half a year to one year showed that, of 62 cases of unilateral frontal injury, 46 patients recovered well, 13 were slightly disabled physically, and 3 died. Conclusion： Treating unilateral frontal injury with hematoma by forehead extremely can avoid acute cephaloeele caused by traditional operation of reducing pressure by dislodging big bone valve, and serious consequence caused by cerebral incarceration. Effectively reducing the pressure of brainstem can be achieved by reducing axiality pressure of brainstem. Meanwhile, it is convenient to perform skull -shaped operation again.
出处
《包头医学院学报》
CAS
2013年第2期39-40,共2页
Journal of Baotou Medical College
关键词
额叶脑挫裂伤
额极入路
手术治疗
颅内血肿
Unilateral Frontal Injury
Forehead extremely
Operation
Intracranial hematoma
