标准外伤大骨瓣开颅术在治疗额颞叶对冲伤的临床应用

Clinical application of standard trauma craniotomy with large bone flap for the treatment of contre coup of fronto-temporal lobe

目的探讨标准外伤大骨瓣开颅术对额颞叶对冲伤的疗效。方法根据不同的时期,将78例严重颅脑外伤分为二组。其中30例采用额颞骨瓣开颅术作为前期组(1999-2001);48例采用标准外伤大骨瓣开颅术作为后期组(2002-2005),比较两组的疗效。结果两组间疗效评价采用出院时GCS评定,显示差异有统计学意义(P<0.05)。结论标准外伤大骨瓣开颅术在治疗重型颅脑损伤中能够明显提高疗效,改善预后。

Ojective To explore the curative effects of standard trauma cramotomy with large bone flap in patients with severe contre coup of fronto-temporal lobe.Methods According to 2 different stages,78 cases with severe underwent cerebral mjuries were divided into two groups.30 cases underwent traditional fronto-temporal craniotomy with bone flap served as prophase group （1999-2001）.48 cases were treated by standard trauma craniotomy with large bone flap served as anaphase group （2002-2005）.The curative effects were compared between two groups. Results GOS was used to evaluate the curative effects at discharge and there were signifieant difference in statistically between two groups.Conclusion Standart trauma craniotomy with large bone flap can obviously improve the curative effects and prognosis for the treatment of severe craniocerebral injuries.