摘要
目的探讨重度双额叶脑挫裂伤并发中央型脑疝的手术治疗方法。方法回顾性分析37例重度双额叶脑挫裂伤并发中央型脑疝的临床表现,手术时机及手术方法的选择。结果37例经手术治疗良好17例,轻残14例,重残1例,植物生存2例,死亡3例。结论对重度双额叶脑挫裂伤的患者要及时和/或尽早手术,必要时去骨瓣减压,能提高病人的治愈率,改善病人的预后。
Objective To discuss the surgical technique of severe bifrontal intraparenchyma contusion associated with central herniation. Methods Clinical presentation, surgical timing, surgical technique of 37 cases of Severe Bifrontal Contusion associated with Central Herniation were analyzed retrospectively. Results 17 of 37 cases had good outcome, 14 mild morbidity, 1 severe mordity, 2 were in persistent yegetative state, 3 mortality. Conclusions We recommend in-time operation, decompression craniectomy when necessary to treat patients with bifrnntal intraparenchymal contusions associated with central herniation to achieve a better prognosis.
出处
《国际神经病学神经外科学杂志》
2009年第5期403-405,共3页
Journal of International Neurology and Neurosurgery
