[1]窦立敏,李东儒,王东,等.外侧裂区脑挫裂伤的显微手术治疗策略[J].临床神经外科杂志,2019,16(6):539-542.[doi:10.3969/j.issn.1672-7770.2019.06.017]
 DOU Li-min,LI Dong-ru,WANG Dong,et al.Microsurgery strategies for contusion and laceration around lateral fissure[J].Journal of Clinical Neurosurgery,2019,16(6):539-542.[doi:10.3969/j.issn.1672-7770.2019.06.017]
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外侧裂区脑挫裂伤的显微手术治疗策略()
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《临床神经外科杂志》[ISSN:1672-7770/CN:32-1727/R]

卷:
16
期数:
2019年第6期
页码:
539-542
栏目:
临床研究
出版日期:
2019-12-10

文章信息/Info

Title:
Microsurgery strategies for contusion and laceration around lateral fissure
作者:
窦立敏李东儒王东郑永科董晓巧俞文华戴嵬
211100 南京,南京医科大学附属江宁医院神经外科(窦立敏,李东儒,王东);杭州市第一人民医院神经外科(郑永科,董晓巧,俞文华);南京大学医学院附属鼓楼医院神经外科(戴嵬)
Author(s):
DOU Li-min LI Dong-ru WANG Dong et al.
Department of Neurosurgery, The Affliated Jiangning Hospital of Nanjing Medical University, Nanjing 211100, China
关键词:
外侧裂区脑挫裂伤显微手术
Keywords:
lateral fissure area contusion and laceration of brain microsurgery
分类号:
R651.1
DOI:
10.3969/j.issn.1672-7770.2019.06.017
文献标志码:
D
摘要:
【摘要】目的 探讨外侧裂区脑挫裂伤的显微手术处理策略、技巧,以及对预后的影响。方法回顾性分析90例外侧裂区脑挫裂伤患者的临床资料、手术步骤及术后6个月的随访结果。用格拉斯哥预后量表(Glasgow outcome scale,GOS)评分评判患者的预后;Evans指数评定脑积水的发生。结果本组患者中,术后GOS评分为良好者53例、中残16例、重残9例、植物生存5例、死亡7例;术后发生脑积水者仅2例。 结论显微镜下优化手术策略及步骤:“内、外”减压相结合、保护侧裂血管、减少血性脑脊液(减少脑积水),可改善外侧裂区脑挫裂伤的手术治疗效果。
Abstract:
Abstract: ObjectiveTo explore the microsurgical management strategies and techniques of contusion and laceration of the lateral fissure area,and its impact on prognosis. MethodsThe clinical data of 90 patients with lateral fissure contusion and laceration were analyzed retrospectively and followed up for 6 month, assessed the effect by GOS, the occurrence of hydrocephalus was counted by Evans index. ResultsAccording to GOS, 53 cases were good, 16 moderately disabled, 9 severely disabled, 5 vegetative survival, and 7 were dead. Of 90 patients,only 2 got postoperative hydrocephalus. ConclusionThe patients can achieve better results and lower incidence of hydrocephalus with microscopic assisted and optimization of operation strategies and steps such as decompression of “internal and external”, protection of the blood vessels of lateral fissure and reduction of bloody cerebrospinal fluid.

相似文献/References:

[1]李云翔,费舟.脑挫裂伤手术与非手术治疗对照研究[J].临床神经外科杂志,2014,(02):140.
[2]刘科峰,吴智远,龚坚,等.有创颅内压监测和阶梯式治疗进展性脑挫裂伤[J].临床神经外科杂志,2014,(05):363.
[3]曹德茂,朱劲龙,武永康,等.高血糖对脑挫裂伤进展恶化和预后的影响及临床意义[J].临床神经外科杂志,2016,(06):443.
 CAO De-mao,ZHU Jin-long,WU Yong-kang,et al.Influence and clinical significance of hyperglycemia on worsening cerebral contusion progress and prognosis[J].Journal of Clinical Neurosurgery,2016,(6):443.
[4]张建永,陈宏璘,杨松,等.《Labbe’s静脉引流区脑挫裂伤的临床特点与手术治疗》[J].临床神经外科杂志,2017,14(02):151.
 ZHANG Jian-yong,CHEN Hong-lin,YANG Song,et al.The performance and treatment about conusion and laceration of brain in Labbe’s venous drainage area[J].Journal of Clinical Neurosurgery,2017,14(6):151.

更新日期/Last Update: 2019-12-10