冠状切口双额部去骨瓣减压术抢救重型颅脑损伤患者临床效果.docx

冠状切口双额部去骨瓣减压术抢救重型颅脑损伤患者临床效果 【摘要】目的：探讨冠状切口双侧额部去骨瓣减压, 必要时同时行额叶切除内减压术的手术方式抢救双侧额、B 叶广泛挫伤的重型颅脑损伤患者的治疗效果。方法：取额部 发际内冠状切口，行双侧额部去骨瓣减压，根据患者情况必 要时行额叶切除内减压术。结果：本组40例患者中恢复良 好12例，中残14例，重残6例，植物生存1例，死亡7例。 结论：冠状切口双侧额部去骨瓣减压术能提高双侧额叶、颖 叶广泛挫伤的重型颅脑损伤患者的抢救治疗效果，值得在临 床中尝试、推广。 【关键词】双侧额部去骨瓣减压术；冠状切口；重 型颅脑损伤 中图分类号R651. 1文献标识码B文章编号 1674-6805 (2014) 3-0127-02 Clinical Effect of Coronary Incision Bilateral Frontal Decompressive Craniectomy in the Rescue of Patients with Severe Craniocerebral Injury/YANG Li-hang, GAN Chao-min, CUN Shou~kui, et al. //Chinese and Foreign Medical Research, 2014, 12 (3)： 127-128 【Abstract 】 Objective : To investigate the therapeutic effect of the operation method of the coronary incision bifrontal frontal decompressive craniotomy (at the same time the frontal lobe resection decompression should be carried out if it is necessary) in the rescue of severe craniocerebral injury patients with extensive contusion in bilateral frontal and temporal lobe .Method: The forehead hairline coronal incisions were chosen , and bilateral frontal craniotomy were given, and according to the situation of patients the frontal lobe excision decompression would be used if it was necessary. Result： In 40 cases the recovery situations of 12 cases were good, and 14 cases were moderate disability, and 6 cases were severe disability, and 1 case was plant survival, and 7 patients dead .Conclusion : The coronary incision bifrontal frontal decompressive eraniotomy can improve the treatment effect in severe craniocerebral injury patients with extensive contusions of bilateral frontal and temporal lobe, and it is worthy of trying and promotion in the clinica1. [Key words 】 Bifrontal frontal decompressive craniotomy； Coronary incision； Severe craniocerebral injury Firs t-aut hor? s address： The People, s Hosp it al of Tengchong County, Tengchong 679100, China 笔者所在科室2009年4月-2013年4月采用冠状切口双 侧额部去骨瓣减压，必要时同时行额叶切除内减压术的手术 方式抢救以双侧额、颖叶广泛挫伤为主的重型颅脑损伤患者 40例，治疗效果满意，现报告如下。 1资料与方法 1. 1 一般资料 本组40例患者，男32例，女8例；年龄16?79岁