中图分类号：R651.1+5

    文献标识码： A

    文章编号： 1814-8824(2007)-11-0005-02

    摘要：目的 探讨扩大翼点入路在额颞对冲性颅脑损伤中的应用。方法 对我院1999年至2005年间收治的70例额颞对冲伤患者分别采用传统手术入路(37例)和扩大翼点入路(33例)治疗,并进行对比分析。结果 根据GOS预后评价标准,传统额颞瓣入路手术治疗的37例中,恢复良好11例,中残2例,重残3例,植物生存2例,死亡19例,死亡率51.4%;经扩大翼点入路手术治疗的33例中,恢复良好15例,中残5例,重残4例,植物生存3例,死亡6例,死亡率18.2%;两者比较,死亡率差异显著(P<0.05),且改良的扩大翼点入路患者的预后明显优于额颞瓣入路患者(P<0.05)。结论 扩大翼点入路手术在治疗额颞对冲性颅脑损伤中具有明显优越性。

    关键词 扩大翼点入路 额颞部 重度颅脑损伤

    Therapy Severe Head Injury in Frontal Lobe and Temple Lobe by the Amplification Pterion Craniotomy.Yang Yong-lin ，Meng Xiang-fu,Zhuang Xu-wei,et al.Rizhao People's Hospital Affiliated to Jining Medical College.Jining 276826,Shandong,China.

    【Abstract】Objective To explore the methods to treat fronto-temporal contrecoup injury by microsurgery through modified pterional approach.Methods of 70 patients with fronto-temporal contrecoup injury,37 were treated by traditional fronto-temporal craniotomy and 33 by microsurgery through modified pterional approach from 1999 to 2005.Results The mortality rate and cure rate intraditional fronto-temporal craniotomy group were 51.4%(19/37) and 29.7%(11/37) respectively,and they in the craniotomy through modified pterional approach were 18.2%(6/33) and 45.4%(15/33) respectively.There were significantly differences in the mortality rate and cure rate between both the group(P<0.05).Conclusion The microsurgery through the modified pterional approach is an effective method to treat fronto-temporalcontre coup injury. ......