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目的探讨额颞部对冲性脑损伤的手术治疗方法及临床疗效。方法回顾性分析我院自2011年01月至2011年12月收治的47例额颞部对冲性脑损伤患者的临床资料,总结手术经验,应用GOS评估法对患者术后恢复情况进行评价。结果本组患者术后3月至1年,痊愈6例(12.77%),轻度残疾11例(23.40%),中度残疾13例(27.66%),重度残疾11例(23.40%),植物状态2例(4.26%),死亡4例(8.51%),手术治疗有效率为63.8%。结论扩大翼点入路开颅术治疗额颞叶对冲性脑损伤疗效显著,值得临床推广。
Objective To explore the surgical treatment of frontotemporal hemorrhagic brain injury and its clinical efficacy. Methods The clinical data of 47 patients with frontotemporal hemorrhagic brain injury treated in our hospital from January 2011 to December 2011 were analyzed retrospectively. The surgical experience was summarized, and the postoperative recovery was evaluated by GOS assessment. Results The patients were cured in 6 months (12.77%), mild disability in 11 patients (23.40%), moderate disability in 13 patients (27.66%), severe disability in 11 patients (23.40%), Two cases (4.26%) were in state, four died (8.51%), and the effective rate of operation was 63.8%. Conclusion Expanding the pterional approach craniotomy for the treatment of frontotemporal lobar hemorrhagic brain injury significant effect, worthy of clinical promotion.