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目的探讨有限渐次法切开硬脑膜结合帽状腱膜松解在外伤后急性脑肿胀(PABS)手术中的效果。方法手术治疗24例脑肿胀患者:22例半球形脑肿胀(PACHS);2例弥漫性脑肿胀(PADBS)。结果术后6个月评估结果:良好8例(33.3%),中残6例(25.0%),重残3例(12.5%),植物生存2例(8.3%),死亡5例(20.8%)。结论有限渐次法切开硬脑膜结合帽状腱膜松解在脑肿胀的手术中能明显降低手术风险和改善预后。
Objective To investigate the effect of limited gradual incision on the incision of the dura in the treatment of acute brain swelling (PABS) after traumatic brain injury. Methods Surgical treatment of 24 patients with brain swelling: 22 cases of hemispheric brain swelling (PACHS); 2 cases of diffuse brain swelling (PADBS). Results Six months after operation, the results were as follows: 8 cases (33.3%) were good, 6 cases (25.0%) were moderate disability, 3 cases were severe disability (12.5%), 2 cases ). Conclusion The limited gradual approach to incision dural capsulorhexis and aponeurosis can significantly reduce the surgical risk and improve the prognosis in the operation of brain swelling.