冠状切口双额开颅去骨瓣减压术治疗双额叶重型脑挫裂伤21例

Treatment of the severe bifrontal contusion with double frontal decompressive craniectomy through coronal incision in 21 cases

目的:探讨双额开颅去骨瓣减压术治疗双额叶重型脑挫裂伤疗效。方法:选择双额叶重型颅脑损伤患者21例,均行冠状切口双额开颅去骨瓣减压术,不保留额骨骨桥。结果:术后随访1年,存活19例,死亡2例;根据格拉斯哥预后评分评价疗效:良好11例(52.3%),轻残5例(23.8%),重残3例(14.2%),死亡2例(9.5%)。结论:双额开颅去骨瓣减压术对双侧额叶重度脑挫伤患者手术效果确切,可有效改善患者预后,降低致残率和死亡率。

Objective： To explore the curative effects of double frontal decompressive craniectomy through coronal incision in the treatment of severe bifrontal contusion. Methods： The data of 21 patients with severe bifrontal contusion treated with double frontal decompressive craniectomy through coronal incision and without retaining frontal bone bridge were retrospectively analyzed. Results： All patients were followed up for 1 year. Nineteen cases survived,2 cases died. Excellent in 11 cases（ 52. 3%）,light disability in 5 cases（ 23. 8%）,heavy disability in 3 cases（ 14. 2%） and death in 2 cases（ 9. 5%） were found according to the Clasgow outcome scale.Conclusions： The curative effects of double frontal decompressive craniectomy through coronal incision in treating severe bifrontal contusion are good,which can effectively improve the prognosis,and reduce disability and mortality of patients.