显微镜下额部大脑镰切开治疗双额叶脑挫裂伤80例临床分析

Clinical analysis of cerebral falx incision of frontal under microscope in the treatment of double frontal cerebral contusion

目的观察显微镜下额部大脑镰切开治疗双额叶脑挫裂伤的临床效果。方法 80例双额叶脑挫裂伤患者随机分为A组和B组,A组采用冠切双额大骨瓣开颅手术治疗,B组采用显微镜下额部大脑镰切开治疗。比较2组治疗效果、手术情况及随访并发症发生情况。结果 2组均随访1~2a,B组良好率显著高于A组,手术时间、输血量、住院时间均显著优于A组,并发症发生率显著低于A组,差异均有统计学意义(P<0.05)。结论对双额叶脑挫裂伤患者施行显微镜下额部大脑镰切开治疗,疗效更佳,安全可靠,值得临床推广应用。

Objective To observe the clinical effect of cerebral falx incision of frontal under microscope in the treatment of double frontal cerebral contusion.Methods Eighty patients suffering from double frontal brain contusion were randomly divided into two groups.Patients in group A received big-bone-flap craniotomy via transcoronal incision of double frontal and others in group B received cerebral falx incision of frontal under microscope.Then the clinical efficacy and surgical complications of the two groups over the follow-up interval were compared.Results After one-or two-year follow-up period,the favorable rate of the group B was significantly higher than that of group A;and group B showed beneficial operation time,blood transfusion volume and hospitalized stays,which held lower complication rate than group A(P<0.05).Conclusion Cerebral falx incision of frontal under microscope has better clinical effect on the treatment of double frontal cerebral contusion better curative effect with reliable safe and,which should be worthy of clinical popularization and application.