论文部分内容阅读
目的:总结双额叶脑挫裂伤早期手术方法及疗效。方法:回顾分析我院2010年5月-2014年5月采用手术治疗双额叶脑挫裂伤28例临床资料;28例患者中,冠状开颅加去骨瓣减压术13例,冠状开颅骨瓣复位9例,冠状双额去大骨瓣术6例。术后随访6个月。结果:28例患者经过积极的早期手术干预,其中到明显恢复19例,中度残疾4例,重度残疾2例,植物生存1例,死亡2例(死亡原因为肺部感染)。结论:双额叶脑挫裂伤的患者,早期手术治疗,以充分减压,是保证治疗成功、保存和恢复神经功能,减少致残率及死亡率的关键。
Objective: To summarize the early surgical methods and curative effect of double frontal lobe contusion. Methods: A retrospective analysis of our hospital from May 2010 to May 2014 surgical treatment of double frontal lobe contusion and laceration in 28 cases of clinical data; 28 patients, coronal craniotomy plus cataract decompression in 13 cases, coronary open 9 cases of skull flap reduction, coronal double trepanation in 6 cases. The patients were followed up for 6 months. RESULTS: Twenty-eight patients underwent aggressive early surgical intervention, including 19 cases of obvious recovery, 4 cases of moderate disability, 2 cases of severe disability, 1 case of plant survival and 2 cases of death (the cause of death was pulmonary infection). CONCLUSIONS: In patients with bilateral frontal lobe contusion and laceration, early surgical treatment with adequate decompression is the key to successful treatment, preservation and recovery of neurological function, reduction of morbidity and mortality.