改进手术方法治疗额颞部重型颅脑损伤

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1、改进手术方法治疗额颞部重型颅脑损伤【摘要】目的探讨高原额颞部重型颅脑损伤的改进手术方法及效果。方法采用改良式Kelly问号形切口，沿前额发际内正中旁3cm，向后呈弧形在顶骨结节前转向颞部到达乳突上缘，从耳后发际边缘拐向前缘止于颧弓上。从颞骨鳞部开窗，颅骨钻孔取下扩大骨瓣，切开硬脑膜，清除血肿及挫碎脑组织。同时去骨瓣减压，将骨瓣浸泡在55%酒精瓶内密封低温冷藏。结果本组46例患者经手术治疗后存活36例，良好28例，中度残废6例，重度残废2例；死亡10例。结论46例患者采用改进手术方法扩大入路硬脑膜成形术治疗额颞部重型颅脑损伤，存活36例，取得了较好的效果。【关键词】重型颅

2、脑损伤；额颞部；改进手术方法Usingtheimprovingsurgerymethodtotreatheavycraniocerebraltraumaoffrontalandtemporalpart【Abstract】ObjectiveTostudytheimprovingsurgerymethodandeffectaboutplateauheavycraniocerebraltraumaoffrontalandtemporalpart.MethodsUseoftheimprovingtypeKellyquestionmarkshapeincision,alongth

3、eforehead　　改进手术方法治疗额颞部重型颅脑损伤【摘要】目的探讨高原额颞部重型颅脑损伤的改进手术方法及效果。方法采用改良式Kelly问号形切口，沿前额发际内正中旁3cm，向后呈弧形在顶骨结节前转向颞部到达乳突上缘，从耳后发际边缘拐向前缘止于颧弓上。从颞骨鳞部开窗，颅骨钻孔取下扩大骨瓣，切开硬脑膜，清除血肿及挫碎脑组织。同时去骨瓣减压，将骨瓣浸泡在55%酒精瓶内密封低温冷藏。结果本组46例患者经手术治疗后存活36例，良好28例，中度残废6例，重度残废2例；死亡10例。结论46例患者采用改进手术方法扩大入路硬脑膜成形术治疗额颞部重型颅脑损伤，存活36例，取得了较好的

4、效果。【关键词】重型颅脑损伤；额颞部；改进手术方法Usingtheimprovingsurgerymethodtotreatheavycraniocerebraltraumaoffrontalandtemporalpart【Abstract】ObjectiveTostudytheimprovingsurgerymethodandeffectaboutplateauheavycraniocerebraltraumaoffrontalandtemporalpart.MethodsUseoftheimprovingtypeKellyquestionmarkshapeincis

5、ion,alongtheforeheadhaircenterside3cm,adoptthearcshapebacktoarrivethemastoidupperpartintheparietalbonetubercleanteversiontotemporalpart,alongtheborderedgeaftertheeartoturntothefrontedgetothearcuszygomaticus.Openathescalepartofostemporale,takedoater,eliminatethehaematomaandthebrokenbraint

6、issue.Atthesametimegetridofthebonepataltoreducethepressure,soakthebonepetalin55%ethylalcoholbottleandsealbytheloperaturerefrigeration.ResultsThisgroupof46patientstreatedbythesurgerysurvive36patients,thegood28patients,themoderatedisabled6patients,theheavydisabled2patients,died10patients.C

7、onclusion46patientsofheavycraniocerebraltraumaoffrontalandtemporalpartusedtheimprovingsurgerymethodtoexpandintotheroadduramaterformingtechniquetreatment,survived36patients,hasobtainedthegoodeffect.【Keya;frontalandtemporalpart;theimprovingsurgerymethod额颞部重型颅脑损伤在颅脑外科中占比例较高，