摘要
目的探讨标准大骨瓣开颅减压治疗大面积脑梗死的手术适应证、手术方法及影响预后的因素。方法回顾分析了1997年3月至2008年4月收治的36例因大面积脑梗死而行标准大骨瓣开颅减压治疗的患者的疗效,以及GOS评分评定其临床效果。脑梗死发病距手术时间平均为42h(20h～4d)。结果所有患者均经随访,术后死亡10例(27.78%),其中年龄大于55岁者23例,死亡8例(34.78%);年龄小于55岁者13例,死亡2例(15.38%)。以GOS评价治疗效果,出院时死亡11例(30.56%),植物生存6例(16.67%),重残8例(22.22%),中残7例(19.44%),良好4例(11.11%)。术后6个月死亡11例(30.56%),植物生存5例(13.89%),重残5例(13.89%),中残8例(22.22%),良好7例(19.44%)。结论标准大骨瓣开颅减压能够极大提高大面积脑梗死患者的生存率及生存质量,是传统保守治疗失败后的一种极为有效疗法,其中手术技巧及手术时机的选择非常重要,年龄大于55岁及快速恶化者疗效差。
Objective To explore the curative effect,and the time for operation and the factors associated with outcomes of decompression by standard frontal-temporal craniectomy to treat extensive infarctionM.ethods 36 cases suffering from extensive infarction were reviewed and analyzed retrospectively,who underwent decompression by standard frontal-temporal craniectomy between March 1997 and April 2008.The curative effectiveness was evaluated by Glasgow outcome scale(GOS)R.esults All postoperative patients were follo...
出处
《中外医疗》
2008年第22期17-18,共2页
China & Foreign Medical Treatment
关键词
脑梗死
标准额颞大骨瓣
预后
并发症
Brain infarction
Standard frontal-temporal craniectomy decompression
Prognosis
Complication
