扩大翼点入路手术治疗额颞对冲性颅脑损伤效果剖析.docVIP

扩大翼点入路手术治疗额颞对冲性颅脑损伤效果剖析 　　【摘要】 目的：研究扩大翼点入路手术治疗额颞对冲性颅脑损伤的效果。方法：选取笔者所在医院2014年1月-2016年10月收治的40例额颞对冲性颅脑损伤患者，均采用扩大翼点入路手术进行治疗，对比观察患者治疗前后GCS评分及并发症发生情况。结果：治疗前患者GCS评分为（7.48±0.42）分，治疗后患者GCS评分为（13.72±0.32）分，治疗后患者GCS评分低于治疗前，差异有统计学意义（P0.05）。治疗前患者脑水肿、硬膜下积液及血肿等发生率为70.0%（28/40），治疗后患者发生率为12.5%（5/40），治疗后发生率低于治疗前，差异有统计学意义（P0.05）。结论：采用扩大翼点入路手术治疗额颞对冲性颅脑损伤可以有效提高临床疗效，且可以明显降低各种并发症，改善脑功能等情况，值得推广使用。 　　【关键词】 额颞对冲； 颅脑损伤； 翼点入路手术 　　doi：10.14033/j.cnki.cfmr.2018.4.012 文献标识码 B 文章编号 1674-6805（2018）04-0025-02 　　Effect Analysis of the Expanded Wing Point Approach in the Treatment of Frontotemporal Craniocerebral Injury/GU Xuhui.//Chinese and Foreign Medical Research，2018，16（4）：25-26 　　【Abstract】 Objective：To explore the effect of the expanded wing point approach in the treatment of frontotemporal craniocerebral injury.Method：A tatal of 40 patients with frontotemporal craniocerebral injury admitted to the hospital from January 2014 to October 2016 were selected，all the patients were treated with expanded wing point approach.The GCS score and complications were observed before and after treatment.Result：The GCS score was （7.48±0.42） before treatment，the GCS score was （13.72±0.32） after treatment，the GCS score was lower than before treatment，the difference was statistically significant（P0.05）.The incidence of cerebral edema，subdural effusion and hematoma of patients before treatment was 70.0%（28/40），the incidence rate was 12.5%（5/40） after treatment，the incidence was lower than before treatment，the difference was statistically significant（P0.05）.Conclusion：The expanded wing point approach in the treatment of frontotemporal craniocerebral injury can effectively improve the clinical curative effect，and it can obviously reduce various complications，improve brain function and so on，it is worth popularizing. 　　【Key words】 Frontotemporal hedge； Craniocerebral injury； Wing point approach surgery 　　First-author’s address：People’s Hospital of Haimen City，Haimen 226100，China 　　?~颞对冲伤是指沿头部被打击或由于碰撞作用力方向对侧的