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大面积脑梗死手术治疗效果的临床研究

白雪卿 范文胜 宋全生 闫晨光 李雷利 贾建聪

中国卒中杂志2011,Vol.6Issue(6):440-444,5.
中国卒中杂志2011,Vol.6Issue(6):440-444,5.

大面积脑梗死手术治疗效果的临床研究

Decompressive Hemicraniectomy Surgery in Large Cerebral Infarction

白雪卿 1范文胜 1宋全生 1闫晨光 1李雷利 2贾建聪2

作者信息

  • 1. 034000,山西省忻州市,忻州市人民医院神经外科
  • 2. 034000,山西省忻州市,忻州市人民医院神经内科
  • 折叠

摘要

Abstract

Objective To compare the clinical outcome of decompressive hemicraniectomy 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.

关键词

脑梗死;神经外科手术;减压术,外科

Key words

Brain infarction/ Neurosurgical procedures/ Decompression, surgical

引用本文复制引用

白雪卿,范文胜,宋全生,闫晨光,李雷利,贾建聪..大面积脑梗死手术治疗效果的临床研究[J].中国卒中杂志,2011,6(6):440-444,5.

中国卒中杂志

OACSTPCD

1673-5765

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