摘要
目的 探讨大面积脑梗死所致脑疝的手术方法。方法 对大面积脑梗死所致早、中期小脑幕切迹疝采用标准外伤大骨瓣开颅术及非功能区脑组织切除术。结果 12例中10例存活,2例死亡;10例幸存者随访3～6个月,智能均接近正常,其中6例能独立生活。结论 标准外伤大骨瓣开颅术是治疗脑梗死所致脑疝的有效方法。
Objective To discuss the surgical procedures in the treatment of the transtentorial hernia caused by massive cerebral infarction. Method The standard large trauma craniotomy and excision of non-functional brain tissue were used in 12 patients with transtentorial hernia due to massive cerebral infarction. Results Of 12 patients with transtentorial hernia due to massive cerebral infarction, 10 survived and 2 died. All the 10 survivals followed up for 3-6 months had almost normal intellect and 6 of them could live independently. Conclusion The standard large trauma craniotomy is an effective method for the treatment of transtentorial hernia due to massive cerebral infarction.
出处
《中国临床神经外科杂志》
2002年第6期347-348,共2页
Chinese Journal of Clinical Neurosurgery
关键词
外伤瓣
脑梗死
小脑幕切迹疝
开颅术
Trauma flap
Cerebral infarction
Transtentorial hernia
craniotomy
