Endoscopy-assisted cerebral falx incision via unilateral approach for treatment of dissymmetric bila

来源 :中华创伤杂志(英文版) | 被引量 : 0次 | 上传用户:lucien001
下载到本地 , 更方便阅读
声明 : 本文档内容版权归属内容提供方 , 如果您对本文有版权争议 , 可与客服联系进行内容授权或下架
论文部分内容阅读
Objective: To investigate the clinical features and treatment strategy of dissymmetric bilateral frontal contusion,and to summarize our experience in treating these patients by minimally invasive surgery.Methods: Over the past 3 years,we have treated a total of 31 patients with dissymmetric bilateral frontal contusion using endoscopy-assisted unilateral cerebral falx incision.Other 30 patients treated by routine bilateral approaches within the same period were taken as control.Results: Seventeen cases (54.8%) in the unilateral operation group survived and were in good condition,8 (25.8%) had moderate disability,4 (12.9%) had severe disability,1 (3.2%) was in vegetative state,and 1 (3.2%) died.Compared with the control group,the Glasgow Outcome Scale score was not significantly different in the unilateral operation group,but the operation time,blood transfusion volume,the length of hospital stay,the incidences of mental disorder and olfactory nerve injury were greatly reduced in the unilateral operation group.Conclusions: Endoscopy-assisted unilateral cerebral falx incision can shorten the operation time,reduce surgical trauma and complications in treatment of patients with dissymmetric bilateral frontal contusion.It can obviously diminish the chance of delayed intracerebral hematoma and subsequently minimize the incidences of subfalcial and centrencephalic herniation.
其他文献
低密度脂蛋白胆固醇(LDL-C)升高是动脉粥样硬化的重要独立危险因素.他汀类药物降低LDL-C的水平,预防主要血管事件的作用已得到广泛证实.依折麦布是一种新型降LDL-C药物,其机
肾活检是肾脏疾病检查中一项重要的辅助诊断方法,是通过光学显微镜、荧光显微镜和电子显微镜检查肾活组织标本.它主要用于了解各种原发性肾脏疾病和继发于全身性疾病的肾脏损
目的:评价动态心电图对冠心病的诊断价值。方法:选择176例冠状动脉造影阳性的患者,回顾分析其动态心电图心肌缺血的变化。结果:176例患者中动态心电图检查心肌缺血阳性率为75
性逆转综合征(Sex Reversal Syndrome)是一类罕见的两性畸形,在遗传学和临床表现方面具有不同于真、假两性畸形的特殊性,独立于二者之外而成为两性畸形的第三分类。由于性别
目的 研究角膜塑形镜对周边屈光度的影响及其作用机制.方法 自身对照研究.11名被试儿童先后在配戴角膜塑形镜前和配戴角膜塑形镜后的1个月,分别进行主觉验光、角膜地形图和眼
目的 探索冬凌草甲素对人雄激素非依赖性前列腺癌细胞株——PC-3细胞的诱导凋亡作用及其分子机制.方法 用不同浓度的冬凌草甲素干预PC-3细胞,MTT试验分析观察其对PC-3细胞活
目的 探讨超声检查在产前诊断胎儿人体鱼序列征的临床价值.方法 对1例胎儿人体鱼序列征的超声声像图及随访结果进行分析,并复习文献.结果 超声声像图提示胎儿双下肢并腿,脊柱
目的评价米非司酮与去氧孕烯炔雌醇治疗围绝经期功能失调性子宫出血的疗效。方法将围绝经期功能失调性子宫出血患者随机分为米非司酮组(36例)和去氧孕烯炔雌醇组(34例),治疗
肾纤维化是各种肾脏疾病进展到慢性肾功能衰竭的共同途径和主要病理基础.研究发现肾纤维化过程中存在Wnt信号传导通路,并且在肾纤维化的发生发展中起重要作用.该文就目前关于
三萜类化合物在蔷薇科植物中分布广泛,且具有多种生物活性.本文对相关研究进行综述,总结了蔷薇科植物中的三萜类化合物的类型和药理活性.