改良翼点入路等三种术式治疗额颞部重度颅脑损伤的比较研究

The comparative study of improved pterional approach and other two surgical method in treatment of heavy craniocerebral injury

目的探讨3种不同术式治疗额颞部重度颅脑损伤患者的手术效果。方法将108例患者随机分成3组:改良翼点入路组、传统骨瓣组和标准大骨瓣减压组,比较组间治疗有效率和并发症发生率。结果改良翼点入路组在治愈率、伤残率及并发症发生率均明显优于传统骨瓣组和标准大骨瓣减压组(P<0.05)。结论改良翼点入路术兼顾了传统骨瓣和标准大骨瓣减压术的优点,具有显露广泛、减压充分、术中脑膨出发生率低、脑疝容易复位等优点,值得在临床治疗中推广应用。

Objective To observe and oompare the effects of three different surgical treatment for heavy craniocerebral injury. Methods The 108 cases were randomly divided into three groups： Improved pterional approach group, the traditional bone group, the standard large trauma decompression group. The efficient rate and complication rate among the three groups were compared. Results Improved pterional approach group was significantly superior to the traditional bone group and the standard large trauma decompression group in the cure rate, the rate of the disabled and the complieation rate（P 〈 0.05）. Concision Improved pterional approach surgery has lots of characteristic.s, such as revealed extension, full decompression, with low rate of encephalocele, easily reset of cerebral hernia and .so on. It is an effective way to treat heavy cranioeerehral injury.