外伤标准大骨瓣开颅术治疗额颞顶对冲伤76例疗效分析

The efficacy of large standard traumatic bone flap craniotomy for frontotemporalparietal contrecoup in 76 cases

目的探讨外伤标准大骨瓣开颅术对额颞顶对冲伤的疗效。方法采用外伤标准大骨瓣开颅术治疗 76例额颞顶对冲伤重型颅脑伤患者。结果随访 6个月 ,恢复良好 37例 (4 8.6 8% )、中残 10例 (13.16 % )、重残 4例 (5 .2 6 % )、植物生存 2例 (2 .6 3% )、死亡 2 3例 (30 .2 6 % )。结论外伤标准大骨瓣手术是治疗广泛额颞顶脑挫裂伤颅内高压患者的有效手术方式。

Objective To explore the efficacy of large standard traumatic bone flap craniotomy for frontotemporalparietal contrecoup. Methods Large standard traumatic bone flap craniotomy was performed in 76 cases with contrecoup severe cerebral contusion. Results After 6 month follow-up, 37 recovered well(48.68%), 10 moderately disabled(13.16%), 4 severely disabled(5.26%), 2 was under vegetative state(2.63%) and 23 died(30.26%). Conclusion Large standard traumatic craniotomy is an effective way to treat acute intracranial hypertension induced by frontotemporalparietal contrecoup cerebral contusion.