This article aims to expound the essence of minimally invasive surgery as well as when and how to use it in craniocerebral trauma surgery according to the characteristics of the disease. In neurosurgery, the importanc...This article aims to expound the essence of minimally invasive surgery as well as when and how to use it in craniocerebral trauma surgery according to the characteristics of the disease. In neurosurgery, the importance of tissue protection should be from the inside to the outside, i.e. brain→dura→skull→scalp. In this article, I want to share my opinion and our team＇s experience in terms of selecting surgical approaches and incision, surgical treatment of the skull, dura handling, intracranial operation and placement of drainage based on the above theory. I hope this will be helpful for trauma surgeons.展开更多
Objective:: To summarize the peri-operative experience from 53 patients with traumatic head injuries with GCS score 3-5. Methods: Fifty-three most severely head-injured patients with GCS score 3-5 were admitted to our...Objective:: To summarize the peri-operative experience from 53 patients with traumatic head injuries with GCS score 3-5. Methods: Fifty-three most severely head-injured patients with GCS score 3-5 were admitted to our department and treated operatively from Oct. 1994 to Jun. 1998 and the data were analyzed retrospectively. Results: Thirty-seven cases ( 69.8 %) survived, among them 28 ( 52.8 %) had a good recovery or moderate disability, and 9 (17%) had severe deficits. The other 16 ( 30.2 %) died after therapy. Conclusions: The prognosis of most severely head-injured patients could be improved by peri-operative treatment including premedical care, early evacuation of intracranial hematoma with large decompressive craniectomies, intracranial hypertension monitoring, moderate hypothermia therapy, effective prevention and treatment of cerebral vasospasm and complications.展开更多
To summarize surgical treatments an d their corresponding curative effects on sciatic nerve injuries. Methods: Surgical treatments on sciatic nerve injury were perfo rmed in 28 patients from January 1990 to July 2000....To summarize surgical treatments an d their corresponding curative effects on sciatic nerve injuries. Methods: Surgical treatments on sciatic nerve injury were perfo rmed in 28 patients from January 1990 to July 2000. The treatments included neur olysis, neurolysis plus partial nerve anastomosis, nerve anastomosis and nerve t ransplantation. The curative effect was evaluated according to Sunderland criter ia. Results: Of 28 cases, 22 patients were followed up with a follo w up period of 13 months to 5 years (average 30 months). Of 22 nerves, 7 were e xcellent, 5 good, 7 fair and 3 poor, with an excellence rate of 54.5 %. Conclusions: The fair results of sciatic nerve injury are relat ed to its structural character. Surgical exploration should be performed if nerv e function does not recover 3 months after primary operation and if Tinels sig n and electromyogram show no signs of nerve regeneration. Electrophysiological m onitoring in the operation is useful in electing surgical methods and predicting the results of nerve anastomosis.展开更多
基金This work was supported by research grants from the National Natural Science Foundation of China （No. 81171144, No. 81471238）
文摘This article aims to expound the essence of minimally invasive surgery as well as when and how to use it in craniocerebral trauma surgery according to the characteristics of the disease. In neurosurgery, the importance of tissue protection should be from the inside to the outside, i.e. brain→dura→skull→scalp. In this article, I want to share my opinion and our team＇s experience in terms of selecting surgical approaches and incision, surgical treatment of the skull, dura handling, intracranial operation and placement of drainage based on the above theory. I hope this will be helpful for trauma surgeons.
文摘Objective:: To summarize the peri-operative experience from 53 patients with traumatic head injuries with GCS score 3-5. Methods: Fifty-three most severely head-injured patients with GCS score 3-5 were admitted to our department and treated operatively from Oct. 1994 to Jun. 1998 and the data were analyzed retrospectively. Results: Thirty-seven cases ( 69.8 %) survived, among them 28 ( 52.8 %) had a good recovery or moderate disability, and 9 (17%) had severe deficits. The other 16 ( 30.2 %) died after therapy. Conclusions: The prognosis of most severely head-injured patients could be improved by peri-operative treatment including premedical care, early evacuation of intracranial hematoma with large decompressive craniectomies, intracranial hypertension monitoring, moderate hypothermia therapy, effective prevention and treatment of cerebral vasospasm and complications.
文摘To summarize surgical treatments an d their corresponding curative effects on sciatic nerve injuries. Methods: Surgical treatments on sciatic nerve injury were perfo rmed in 28 patients from January 1990 to July 2000. The treatments included neur olysis, neurolysis plus partial nerve anastomosis, nerve anastomosis and nerve t ransplantation. The curative effect was evaluated according to Sunderland criter ia. Results: Of 28 cases, 22 patients were followed up with a follo w up period of 13 months to 5 years (average 30 months). Of 22 nerves, 7 were e xcellent, 5 good, 7 fair and 3 poor, with an excellence rate of 54.5 %. Conclusions: The fair results of sciatic nerve injury are relat ed to its structural character. Surgical exploration should be performed if nerv e function does not recover 3 months after primary operation and if Tinels sig n and electromyogram show no signs of nerve regeneration. Electrophysiological m onitoring in the operation is useful in electing surgical methods and predicting the results of nerve anastomosis.
