摘要
目的探讨额颞去骨瓣减压在大面积脑梗死的应用指征、术式选择及其治疗效果。方法对我院自2011年1月至2013年5月收治的大面积脑梗死19例患者的临床资料进行回顾性分析,其中选择单纯去骨瓣12例,去骨瓣+颞极切除7例。结果 19例患者中存活15例、死亡4例(病死率21.6%);15例中预后良好9例(GOS≥3分),植物生存6例。结论积极的外科手术干预能提高大面积脑梗死患者的存活率及生存质量。手术时机的选择对于大面积脑梗死患者较为重要,去骨瓣+颞极切除较单纯去骨瓣未显著提高治疗效果。
Objective To explore the indication ,procedures and therapeutic effects of surgical intervention operation for massive cer -ebral infarction .Methods The clinical data of 19 patients diagnosed with massive cerebral infarction from January 2011 to May 2013 were analyzed retrospectively .Among the patients 12 cases received craniectomy and 7 cases craniectomy adding the temporal pole resection .Re-sults Of the 19 patients,15 cases survived and 4 died (CFR 21.6%);9 cases in 15 patients had good prognosis (GOS≥3 points),and 6 cases were plant survival .Conclusion Surgical intervention can significantly improve the survival rate of patients with massive cerebral in -farction.The timing of surgery for patients with massive cerebral infarction is more important to survival quality .Temporal pole resection can not significantly improve the therapeutic effect .
出处
《安徽医学》
2014年第8期1043-1045,共3页
Anhui Medical Journal
关键词
脑梗死
去骨瓣减压
额颞
外科手术
Cerebral infarction
Decompressive craniectomy
Frontotemporal
Surgery
