大骨瓣减压术治疗大面积脑梗死

Large Craniotomy for Treating Massive Cerebral Infarction

目的:探讨采用大骨瓣减压并颞肌贴敷术治疗大面积脑梗死的效果及手术时机。方法:对16例经CT、MR I证实为大面积脑梗死患者采用约12 cm×15 cm大骨瓣减压并颞肌贴敷的方法进行手术治疗。结果:16例患者13例存活,3例死亡。7例早期手术者均存活。结论:大骨瓣减压并颞肌贴敷术是治疗大面积脑梗死的有效方法,早期手术效果更好。

Objective： To study the effect and operative time of large eraniotomy and Encephalo - Myo Synangiosis on patients with massive cerebral infarction. Method： 16 patients with massive cerebral in- farction proved by CT and MRI were treated by 12 cm x 15 cm large craniotomy and Encephalo - Myo - Synangiosis. Result： 16 patients survived and 3 died. 7 patients with early surgery survived. Conclusion： Large eraniotomy and Encephalo - Myo - Synangiosis is an effective method for patients with massive cerebral infarction, and early operation is more effective.