外科手术治疗大面积脑梗死的疗效分析

Surgical Treatment of Large Cerebral Infarction

目的探讨大骨瓣减压并颞肌贴附治疗急性大面积脑梗死的疗效。方法回顾分析我院采用标准大骨瓣减压加颞肌贴附治疗的16例急性大面积脑梗死患者的临床资料。结果本组病例存活12例,死亡4例。随访1～3年,按GOS分级,恢复良好6例,中残4例,重残2例。结论急性大面积脑梗死患者通过标准大骨瓣减压并颞肌贴附手术治疗可以有效降低死亡率和致残率。

Objective To investigate the effect of craniectomy and the temporal muscle attachment treatment of acute large area cerebral infaretion. Methods Analysed large trauma hospital decompression of temporalis muscle attachment therapy of 16 patients with acute massive cerebral infarction clinical data. Results Twelve cases were survived,4 cases of their were died. Followed them for 1 to 3 years, according to GOS classification, 6 cases were good recovery,4 cases were moderate disability, 2 patients were severe disability. Conclusion Patients with acute massive cerebral infarction by hemicraniectomy standards and temporalis muscle attachment surgery can reduce mortality and morbidity.