冠状切口双额开颅去骨瓣减压术治疗双额叶重型脑挫裂伤21例

Treatment of the severe bifrontal contusion with double frontal decompressive craniectomy through coronal incision in 21 cases

摘要: 目的:探讨双额开颅去骨瓣减压术治疗双额叶重型脑挫裂伤疗效。方法:选择双额叶重型颅脑损伤患者21例,均行冠状切口双额开颅去骨瓣减压术,不保留额骨骨桥。结果:术后随访1年,存活19例,死亡2例;根据格拉斯哥预后评分评价疗效:良好11例(52.3%),轻残5例(23.8%),重残3例(14.2%),死亡2例(9.5%)。结论:双额开颅去骨瓣减压术对双侧额叶重度脑挫伤患者手术效果确切,可有效改善患者预后,降低致残率和死亡率。

Abstract: Objective:To explore the curative effects of double frontal decompressive craniectomy through coronal incision in the treatment of severe bifrontal contusion.Methods:The data of 21 patients with severe bifrontal contusion treated with double frontal decompressive craniectomy through coronal incision and without retaining frontal bone bridge were retrospectively analyzed.Results:All patients were followed up for 1 year.Nineteen cases survived,2 cases died.Excellent in 11 cases(52.3%),light disability in 5 cases(23.8%),heavy disability in 3 cases(14.2%) and death in 2 cases(9.5%) were found according to the Clasgow outcome scale.Conclusions:The curative effects of double frontal decompressive craniectomy through coronal incision in treating severe bifrontal contusion are good,which can effectively improve the prognosis,and reduce disability and mortality of patients.