冠状开颅治疗双额叶挫裂伤的疗效

Efficacy of Coronary Craniotomy for the Treatment of Double Frontal Lobe Contusion

【目的】探讨冠状开颅治疗双额叶脑挫裂伤的临床疗效。【方法】总结2004年3月到2010年5月本院收治行救治脑疝冠状开颅术治疗双额叶脑挫裂伤56例的临床资料。【结果】经开颅术后49例救治成功，成功率为87．5％，7例患者因脑疝晚期难逆而死亡。根据GCS评分规则评定良好41例，中度残障6例，重度残障2例。【结论】密切观察意识等病情变化，结合头部CT扫描，及时行冠状开颅手术可有效提高双额叶脑挫裂伤患者救治成功率。

[Objective] To explore the clinical efficacy of coronary craniotomy for the treatment of double frontal lobe contusion. [Methods] The clinical data of 56 patients with double frontal lobe contusion undergoing coronary craniotomy in our hospital from March 2004 to May 2010 were summarized. [Results]After craniotomy, 49 cases were treated successfully and the successful rate was 87.5%. Seven cases died caused by advanced and irreversible brain hernia. According to the rules of GCS score, 41 cases were good, and 6 cases were moderate disability, and 2 cases were severe disability. [Conclusion]Close observation of the changes of illness state such as consciousness and so on combined with head CT scan and timely coronary craniotomy can effectively improve the successful rate of the treatment of double frontal lobe contusion.