《中国康复理论与实践》

《中国康复理论与实践》 ›› 2004, Vol. 10 ›› Issue (07): 391-392.

• 专题 • 上一篇    下一篇

外伤性全前循环梗死减压性手术临床观察

张力伟1; 杨国瑞2   

  1. 1.首都医科大学附属北京天坛医院神经外科 北京市 100050;2.中国医科大学第一临床医院神经外科 辽宁沈阳市 110001
  • 收稿日期:2004-05-17 出版日期:2004-07-25 发布日期:2004-07-25

What is significance of subtemporal decompression in the traumatic total anterior circulation infarcts

ZHANG Li-wei, YANG Guo-rui   

  1. Department of Neurosurgery, Beijing Tiantan Hospital, Capital University of Medical Sciences, Beijing 100050, China
  • Received:2004-05-17 Published:2004-07-25 Online:2004-07-25

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被引次数

1

摘要： 目的探讨颞肌下减压性手术治疗外伤性全前循环梗死的临床意义。方法对24例外伤性全前循环梗死患者行颞肌下减压性手术,对其CT扫描特点、术前病侧颞浅动脉的搏动情况、术中颅压分型及病侧皮层小动脉血流情况进行分析。结果术后临床症状较术前明显好转4例,无变化14例,死亡6例。术后3个月内复查CT显示梗死灶减小4例,无变化9例,增大2例。结论减压性手术既不能减少梗死的范围,又不能降低死亡率 ,也无助于神经功能的改善及生存质量的提高

关键词: 脑外伤, 前循环, 脑梗死, 减压性手术

Abstract: Objective To explore clinical significance of subtemporal decompression in traumatic total anterior circulation infarcts(TTACI).Methods 24 TTACI cases accepted subtemporal decompression were analyzed including CT scan feature, pre operative observation to temporal superficial artery, operative cranial pressure classification and blood circulation in cortical small artery.Results Clinical symptom compared between before and after operation: good 4 cases, unchanged 14 cases, dead 6 cases. CT scan showed infarct areas became smaller in 4 cases, unchanged in 9 cases, larger in 2 cases three months after operation.Conclusion Subtemporal decompression cannot reduce the areas of infarcts and mortality, nor improve neurological function and promote quality of survivor.

Key words: cranial injures, anterior circulation, cerebral infarcts, decompression