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双额颞部开颅一次成型去大骨瓣减压术治疗双额叶脑挫裂伤临床研究

邓光策 王岳华 姚兴军 侯文仲 曾敏敏 关北漩 李国峰

中国实用神经疾病杂志Issue(7):3-5,3.
中国实用神经疾病杂志Issue(7):3-5,3.

双额颞部开颅一次成型去大骨瓣减压术治疗双额叶脑挫裂伤临床研究

Clinical study of forming a double frontotemporal craniotomy and removing large decompressive craniectomy to treat dual frontal brain contusion

邓光策 1王岳华 1姚兴军 1侯文仲 1曾敏敏 1关北漩 1李国峰1

作者信息

  • 1. 广东清远市人民医院 清远 511500
  • 折叠

摘要

Abstract

Objective To investigate the clinical effectiveness of forming a double frontotemporal craniotomy and removing large decompressive craniectomy to treat dual frontal brain contusion.Methods A randomized single‐blind controlled method was used. Treatment group (TG ,n=47) removed the whole craniectomy ,ligated the superior sagittal sinus and cut the whole falx.Control group (CG ,n=46) conventionally retained osteopontin and did not cut falx. The treatment efficacies of the two groups were observed.Results In TG ,23 cases were good recovery ,13 cases were moderate disability ,2 cases were severe disability ,3 cases were persistent vegetative ,6 cases were deaths;in CG ,15 cases were good recovery ,10 cases were moderate disability ,7 cases were severe disability ,6 cases were persistent vegetative ,8 cases were deaths. These were significantly bet‐ter in TG than CG (P<0.05). Especially ,it was significant better for clinical effect in the moderate to severe patients with short‐term treatment in TG than that of CG ( P < 0.01 ) . Conclusion T his is an affirmation and security surgical treatment for the patients with dual frontal lobe contusion symptoms ,and it also has fewer complications.

关键词

双额叶脑挫裂伤/双额颞部开颅/去大骨瓣减压术

Key words

Dual frontal brain contusion/Double frontotemporal craniotomy/Removing large decompressive craniecto-my

分类

医药卫生

引用本文复制引用

邓光策,王岳华,姚兴军,侯文仲,曾敏敏,关北漩,李国峰..双额颞部开颅一次成型去大骨瓣减压术治疗双额叶脑挫裂伤临床研究[J].中国实用神经疾病杂志,2015,(7):3-5,3.

基金项目

清远市科技计划项目 ()

中国实用神经疾病杂志

1673-5110

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