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目的探讨重度额叶脑挫裂伤的手术时机、适应证、手术方式及术后效果。方法对我院2003年7月至2008年7月手术治疗的重度额叶脑挫裂伤患者50例进行回顾性分析。结果50例均手术治疗,术后按GOS预后评改:良好35例,轻残8例,中残3例,重残2例,死亡2例。结论对于重度额叶脑挫裂伤患者及时或(和)尽早手术,放宽手术适应证,尽可能去骨瓣减压等。可提出治愈率,预后良好。
Objective To investigate the timing, indications, surgical methods and postoperative effects of severe frontal lobe contusion and laceration. Methods 50 cases of severe frontal lobe contusion and laceration in our hospital from July 2003 to July 2008 were retrospectively analyzed. Results All the 50 cases were treated by surgery. According to the prognosis of GOS after operation, 35 cases were cured, 8 cases were disabled, 3 were disabled, 2 were disabled and 2 died. Conclusion For patients with severe frontal lobe laceration in time or (and) as soon as possible surgery, to relax the indications for surgery, as much as possible to decompression and so on. Can be made cure rate, the prognosis is good.