去骨瓣减压术加颞肌贴敷术联合硬脑膜翻转对大面积脑梗死患者的预后影响

Effect of Decompression of Bone Flap and Temporal Muscle Sticking Combined with Dural Inversion on Prognosis of Patients with Massive Cerebral Infarction

目的:研究大面积脑梗死患者采用去骨瓣减压术加颞肌贴敷术联合硬脑膜翻转对患者预后的影响。方法:选取2013年7月—2017年12月40例大面积脑梗死患者作为研究对象,随机分为观察组与对照组,每组均为20例,对照组患者保守治疗,观察组患者在梗死后进行去骨瓣减压加颞肌贴敷术联合硬脑膜翻转手术治疗,比较两组患者治疗前及治疗后的NIHSS评分及治疗后GOS评分。结果:观察组手术患者术后NIHSS评分及GOS评分均高于保守组,两组比较有统计学意义(P<0.05),结论:大面积脑梗死患者采用去骨瓣减压术加颞肌贴敷术联合硬脑膜翻转对大面积脑梗死患者的预后有改善作用。

Objective:To study the effect of large area cerebral infarction decompression with bone flap and temporal muscle sticking combined with dural inversion on prognosis of patients.Methods:Selected in July 2013 - February 40,2017 cases of large area cerebral infarction patients as the research object,were randomly divided into observation group and control group,each group of 20 cases and control group in patients with conservative treatment,patients in observation group was conducted after infarction to bone disc decompression and temporal muscle sticking technique combined dura flip surgical treatment,NIHSS scores and GOS scores before and after treatment were compared between the two groups.Results:NIHSS score and GOS score of surgical patients in the observation group were higher than those in the conservative group,and the comparison between the two groups was statistically significant( P < 0.05).Conclusion:Decompression of large area cerebral infarction with bone flap and temporal muscle sticking combined with dural inversion can improve the prognosis of large area cerebral infarction patients.