摘要
目的对比去骨瓣减压术(decompressive hemicraniectomy,DCH)联合内科治疗与单纯内科治疗大面积脑梗死的效果。方法采用前瞻性研究方法,连续收集符合入组条件的大面积脑梗死患者,分别进行DCF联合内科治疗(手术组)和单纯内科治疗(对照组),6个月后复查并对比两组患者的修正Rankin量表(modifiedrankin scale,MRS)评分情况。结果手术组23例患者,对照组48例,6个月时手术组结局良好率高于对照组(39.1% vs 16.7%,P=0.042)。结论 DCH联合内科治疗大面积脑梗死患者,可改善患者预后。
Objective To compare the clinical outcome of decompressive hemicramectomy surgery in combination with medical treatment and medical treatment alone in large cerebral infarction. Methods This study is a prospective clinical research, and 71 patients with a large cerebral infarction were involved. Twenty-three patients received decompressive hemicraniectomy surgery in combination with medical treatment （surgery group）, 48 patients only received medical treatment （conservative group）. The outcome measure was the modified rankin scale （mRS） at 6 months after the onset of infarction. Results There were 39.1% of the patients in the surgery group got good outcomes in 6 months follow-up, and 16.7% in conservative group （P=0.042）. Conclusion Decompressive hemicraniectomy surgery in combination with medical treatment can improve the clinical outcome of the large cerebral infarction patients.
出处
《中国卒中杂志》
2011年第6期440-444,共5页
Chinese Journal of Stroke
关键词
脑梗死
神经外科手术
减压术
外科
Brain infarction
Neurosurgical procedures
Decompression, surgical
