摘要
目的评价大面积脑梗死的外科治疗方法及效果。方法选取本院2008年7月至2017年6月收治的100例大面积脑梗死患者的临床资料进行回顾性分析,其中50例行去骨瓣减压联合颞肌贴敷、硬脑膜翻转术的患者为手术治疗组,50例药物治疗患者为对照组。比较两组病死率、格拉斯哥预后评分(GOS)。结果手术组病死率为26%。存活患者随访3~6个月,按格拉斯哥预后评分,恢复良好8例,中度残疾17例,重度残疾7例,植物生存5例;对照组病死率为78%,恢复良好2例,中度残疾3例,重度残疾4例,植物生存2例。结论去骨瓣减压联合颞肌贴敷、硬脑膜翻转术能明显降低大面积脑梗死患者的病死率,并改善神经功能缺损。
Objective To evaluate the method and prognosis of the surgical treatment of massive cerebral infarction.Methods The clinical da ta of 100 cases of massive cerebral infarction admitted in our houspitalbetween July 2008 to June 2017 were analyzed retrospectively,50 patients in the treatment group underwent decompressive craniectomy combined with temporal muscle sticking and dural inversion,and 50 patients in the con trol group were given medical treatment.The mortality rate and Glasgow outcome scale(GOS)scores were compared between the two groups.Results The mortality rate in the treatment group was 26%.The survivors were followed up for 3 months to 6 months after surgery,and according to GOS,8 cases were graded as good,17 cases were graded as moderate disability,7 cases were graded as severe disability,and 5 cases were grad ed as vegetative state.While in the control group the mortality rate was 78%.The survivors were followed up for 3 months to 6 months,and accord ing to GOS,2 cases were graded as good,3 cases were graded as moderate disability,4 cases were graded as severe disability,and 2 cases were graded as vegetative state.Conclusion Decompressive craniectomy combined with temporal muscle sticking and dural inversion can obvious reduce the mortality rate of patients with massive cerebral infarction and improve the neurological function in different degrees.
作者
杨齐
孟猛
熊晓娟
许峰
Yang Qi;Meng Meng;Xiong Xiaojuan;Xu Feng(Department of Neurosurgery,Central Hospital of Zaozhuang Mining Group,Zaozhuang,Shandong,277000,China)
出处
《当代医学》
2020年第7期90-92,共3页
Contemporary Medicine
关键词
大面积脑梗死
大骨瓣减压
颞肌贴敷
硬脑膜翻转
Massive cerebral infarction
Decompressive craniectomy
Temporal muscle sticking
Dural inversion
