摘要
目的探讨脑池沟通脑脊液引流对额颞叶脑挫裂伤的治疗效果;方法总结分析应用脑池脑脊液引流的方法治疗脑挫裂伤的47例(全部病例均经翼点开颅,去骨瓣减压同时行脑池沟通CSF外引流);结果全组47例,无死亡病例,恢复良好39例,中残6例,重残2例,在恢复良好39例中,术后7日内GCS评分由术前平均5.8分提高到8～10分。发现通过大骨瓣减压术后血性脑脊液的引流,术后并发症明显降低;结论脑池引流能够明显降低脑挫裂伤术后并发症,尤其在外伤性蛛网膜下腔出血(tSAH)较多的患者,血性CSF的廓清、降低颅内压、防治脑血管痉挛(CVS)、外伤性脑积水等方面有着十分积极的治疗作用。
Objective To explore the efficacy of subarachnoid cistern transfixion and cerebrospinal fluid drainage in the treatment of frontotemporal contusion and laceration. Methods 47 cases frontotemporal contusion and laceration patients treated with cistern transfixion and cerebrospinal fluid drainage were reviewed and analyzed. （All patients were undergone pterional craniotomy,decompressive craniectomy,the technique of cistern transfixion was applied during the surgery）.Results In 47 cases,no death,39 cases had good recovery,mild disability in 6 cases,severe disability in 2 cases. in the good recovery of 39 patients,GCS score 7 days postoperative increased from 5.8 points to 8-10 points. Postoperative complications decreased significantly by application the technique of cistern transfixion and bloody cerebrospinal fluid drainage after large craniectomy.Conclusions Cisternal transfixion and drainage can significantly reduce post-operative complications of brain contusion,especially in traumatic subarachnoid hemorrhage （tSAH） patients,which may has a very positive therapeutic effect on bloody CSF clearance,decrease of intracranial pressure,prevention of cerebral vasospasm （CVS） and traumatic hydrocephalus and so on.
出处
《国际神经病学神经外科学杂志》
2010年第3期200-202,共3页
Journal of International Neurology and Neurosurgery
关键词
脑挫裂伤
脑池
引流
brain contusion
cistern transfixion
drainage
