期刊文献+

标准大骨瓣开颅术治疗大面积脑梗死临床分析 被引量:1

Clinical analysis of standard large trauma craniotomy in the treatment of massive cerebral infarction
下载PDF
导出
摘要 目的探讨标准大骨瓣开颅术治疗大面积脑梗死的临床疗效。方法选择2012-01—2013-12我院收治的大面积脑梗死患者46例(脑梗死范围直径>4.0cm),随机分成观察组和对照组各23例,观察组患者应用标准大骨瓣开颅术治疗,对照组应用常规大骨瓣开颅术治疗,对比2组患者治疗前后GCS评分、脑梗死灶范围变化情况和预后情况。结果 2组治疗前GCS评分及脑梗死情况无显著差异(P<0.05);2组术后GCS评分均有改善,观察组明显优于对照组(P<0.05);观察组临床疗效明显优于对照组(P<0.05),且观察组梗死灶面积明显缩小,改善程度优于对照组(P<0.05)。结论标准大骨瓣开颅术治疗大面积脑梗死疗效满意,能降低病死率,是手术治疗的有效方法。 Objective To investigate the clinical efficacy of standard large trauma craniotomy in the treatment of massive cerebral infarction .Methods Forty-six patients with massive cerebral infarction from January 2012 to December 2013 in our hospital cases (infarct 4.0 cm or more in diameter) were randomly divided into observation group and control group each 23 ca-ses.Patients in observation group applied standard large trauma craniotomy treatment ,patients in the control group applied con-ventional large craniotomy treatment. The GCS score of two groups of patients before and after treatment ,infarct scope changes and prognosis were compared. Results The GCS scores of two groups before the treatment had no significant difference (P〈0.05).The GCS scores in two groups after surgery were improved ,but the improvement of observation group were significantly better than that of control group (P〈0.05).The clinical efficacy of observation group was better than that of control group ,the difference was statistically significant (P〈0.05) ,and the infarction area of observation group was significantly reduced ,the de-gree of improvement was better than the control group (P〈0.05).Conclusion The standard large trauma craniotomy for mas-sive cerebral infarction has satisfactory clinical efficacy ,and can reduce the mortality ,it is an effective method of surgical treat-ment.
出处 《中国实用神经疾病杂志》 2014年第20期33-35,共3页 Chinese Journal of Practical Nervous Diseases
关键词 大面积脑梗死 标准大骨瓣开颅术 Large area cerebral infarction Standard large trauma craniotomy
  • 相关文献

参考文献8

二级参考文献30

  • 1林宜生,李光昭,洪湖强,刘炜,陈亿民,漆松涛,林庭凯,应文娟.创伤性大面积脑梗死的手术治疗效果分析[J].中国危重病急救医学,2005,17(2):124-125. 被引量:7
  • 2罗有才,石伟.标准大骨瓣减压术治疗重型颅脑损伤合并脑疝[J].陕西医学杂志,2006,35(11):1456-1457. 被引量:4
  • 3Rengacharg SS, Batnitzky S, Morantz R, et al. Hemicraniectomy for acute massive cerebral infarction[J]. Neurosurgery, 1981,8 : 321-328.
  • 4Toyoda K, Fujii K, Kamouchi M, et al. Free radical scavenger, edaravone in stroke with internal carotid artery occlusion[J]. J Neurol Sci,2004,221(1/2) :11-17.
  • 5江基尧.介绍一种国外临床常用的标准外伤大骨瓣开颅术.中华神经外科杂志,1998,14(7):381-381.
  • 6刘敬民.张珊“大面积脑梗死”[J].中国实用医药杂志,2011,19(11):677.
  • 7陈泽杉.标准大骨瓣减压术治疗大面积脑梗死30例临床分析[J].中国临床神经外科杂志,2010,11(6):384.
  • 8Carter BS, Ogilvy CS, Candia GJ, et al. One - year outcome after decompressive surgery for massive nondominant hemispheric in- farction [ J ]. Neurosurgery,2011,40 ( 6 ) : 1168-1175.
  • 9Aarabi B, Hesdorffer DC, Ahn ES, et al. Outcome following deeompressive craniectomy for malignant swelling due to severe head injury[J].J Neurosurg,2010,104(4) :469-479.
  • 10刘勇.38例重型颅脑损伤合并脑疝患者行小脑幕切开术的临床观察[J].中华实用诊断与治疗杂志,2010,15(5):42-43.

共引文献557

同被引文献4

引证文献1

二级引证文献1

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部