摘要
【目的】探讨预见性手术减压在治疗双侧额叶脑挫伤中的疗效。【方法】采用手术减压治疗双侧额叶脑挫裂伤59例，其中预见性手术减压38例（观察组），脑中心疝后手术减压21例（对照组）。比较两组病人预后情况。【结果】术后3个月按GOS评分评定预后，观察组预后良好率（78．95％）明显高于对照组（23．81％），而预后不良率（死亡＋植物生存＋重残）则明显低于对照组，且两组相比较差异均有显著性（P〈0．01）。【结论】预见性手术减压有效阻止了脑中心疝的发生，明显地降低了死残率。
[Objective] To explore the efficacy of predictive surgical decompression for the treatment of bi lateral frontal contusion. [Methods] Totally 59 patients with bilateral frontal contusion ubderwent surgical de- compression. Predictive surgical decompression was performed for 38 cases and surgical decompression after brain central hernia was performed for 21 cases. The prognosis between two groups was compared. [Results] The prognosis at 3 months after operation was assessed by GOS score. The favorable prognosis rate in the ob- servation group（78.950%） was significantly higher than that in the control group（23.810%）（ p 〈0.01）. The defective prognosis rate including death, plant survival and severe disability in the observation group was obvi- ously lower than that in the control group, and there was significant difference between two groups （ P〈0.01）. [Conclusion] Predictive surgical decompression can effectively prevent the incidence of brain central hernia and obviously reduce mortality and disability rates.
出处
《医学临床研究》
CAS
2012年第7期1248-1249,共2页
Journal of Clinical Research
关键词
脑损伤/外科学
减压术
外科
Brain injuries/SU
decompression, surgical
