摘要
目的总结单额开颅治疗双额叶挫裂伤的经验。方法回顾性分析21例双额叶挫裂伤患者的临床资料,均采用单额开颅治疗。入院时GCS评分:9～11分13例,6～8分6例,3～5分2例。结果术后第1 d所有病例均行头颅CT复查,无一例出现迟发性颅内血肿或残余血肿。对侧挫裂伤及血肿基本清除(>75%)15例,部分清除(50%～75%)6例。术后6个月按GOS分级标准,恢复良好13例,中残4例,重残3例,死亡1例。结论采用单额开颅能有效清除双额叶挫裂伤及血肿,并具有缩短手术时间、减轻手术创伤等优点,具有较好的临床实用价值。
Objective To summarize the experience on the surgical treatment of bilateral frontal contusion and hematoma via unilateral eraniectomy. Methods A total of 21 patients with bilateral frontal contusion and hematoma performed unilateral craniectomy were analyzed retrospectively. The GCS scored 9 to 11 in 13 cases, 6 to 8 in 6 cases and 3 to 5 in 2 cases. Results All cases received the skull CT re-examine one day after the operation. No delayed intracranial hematoIna or residual hematoma was found in all patients, and the contralateral hematoma was almost cleared （ 〉75% ）in 15 cases and partial cleared （50% --75% ） in 6 cases. The outcome dem- onstrated well recovery in 13 cases, moderate disability in 4 cases, severe disability in 3 cases and death in 1 case. Conclusion The surgery of unilateral frontal craniectomy can clear the hematoma effectively for bilateral frontal contusion and hematoma with advantages as shortening operative duration and lightening operative trauma.
出处
《中国现代手术学杂志》
2013年第3期203-204,共2页
Chinese Journal of Modern Operative Surgery
关键词
颅脑损伤
颅内出血
创伤性
脑挫裂伤
额叶
大脑镰
手术入路
craniocerebral trauma
fintracranial hemorrhage, traumatic
cerebral contusion
frontal lobe
cerebral falx
operative approach
