额颞顶联合入路减压术治疗大面积脑梗死Large area cerebral infarction treated by pterion-temple association approach decompression procedure
李涛,杨晋生,郑凤琴,古选民,范波
摘要(Abstract):
目的探讨额颞顶联合入路减压术治疗大面积脑梗死的效果及手术优点。方法 28例经确诊为大面积脑梗死的病例进行了额颞顶联合入路减压加颞肌贴敷术,对手术后的患者进行3个月随访,按GOS评分标准进行评定。结果 28例入选患者有22例存活,GOS评分4分16例,3分4例,2分2例,死亡6例。结论额颞顶联合入路减压术具有操作简便、暴露及减压充分等优点,根据患者的具体情况进行额颞顶联合入路减压、颞肌贴敷术联合内减压是一种较好的治疗大面积脑梗死的方法。
关键词(KeyWords): 大面积脑梗死;额颞顶联合入路;去除骨瓣减压术
基金项目(Foundation):
作者(Author): 李涛,杨晋生,郑凤琴,古选民,范波
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