摘要
目的 :通过改良术达到缓解对视丘下部及脑干压迫。方法 :单、双侧或冠状切口入路去骨瓣 ,带蒂颞肌筋膜修补硬脑膜 ,必要时行天幕缘切开。结果 :改良手术组与常规手术组总体疗效GOS评级愈后经秩和检验 :差异有统计学意义 (u =2 0 781P =0 377) ,改良手术组疗效优于常规手术组。结论 :改善患者愈后 ,降低了死亡率及神经功能废损率。
Objective:To relief the depression on the hypothalamus and brain stem with improved decompression. Methods: For depression, uni-/bilateral or frontal incisions were made, bone flaps were moved, pedunculate temporal fascia were used to repair the dura mater. If necessary, the margin of the tentorium were cut.Results:After GOS grade and the rank correlation coefficient test to the covering of reformed and regular operations:the defference has the statistics significance (u=2.0781 P=0.377) the curative effect of reformed operation was better than the regular operation group. Conclusion:The prognosis of the patient was improved, the mortality and disability rate of nervous functions were decreased.
出处
《华西医学》
CAS
2004年第2期188-189,共2页
West China Medical Journal