扩大翼点入路并颞肌切除治疗额颞部重型颅脑损伤(附36例临床分析)

Treatment of Severe Craniocerebral Injury on Frontal and Temuus with Enlarged Pterion Approach and Resection of Tempus Muscle

目的分析额颞部重型颅脑损伤扩大翼点入路并颞肌切除的有效性、合理性及结果。方法对36例额颞部重型颅脑损伤病人扩大翼点入路并颞肌切除,采用回顾性分析,总结该类病人的特点及更有效的治疗方法。结果本组存活9例,据GOS:良好2例,中度残废2例,重度残废3例,植物生存2例,死亡27例,死亡率为75.0%。结论对该类病人急性脑膨出无法关颅,而采用颞肌切除代替切除更多正常脑组织,扩大硬膜腔,使颅内代偿空间进一步扩大的治疗是有效的。

Objectlve To analyze the efficacy, reasonability and results of treatment of severe craniocerebral injury on frontal and tempus with enlarged pterion approach and resection of tempus muscle. Methods The clinical materials of 36 cases who underwent this operation were analyzed retrospectively in its characteristics. Results There were 9 cases survived as better in 2 cases, moderate main in 2 cases, severe main in 3 cases and vegetarian in 2 cases according to GOS. The mortality was 75,0% Conclusion This method might compensate the extra expansion of brain with the resection of tempus muscle and might be effective for severe craniocerebral injury.