额颞枕顶超大骨瓣减压术对幕上恶性脑梗塞的临床疗效研究

摘要

Objective:To evaluate the clinical efficacy for supra-tentorial malignant infarcts ( STMBI ) n of craniotomy surgery in pillow top frontotemporal .Method:Using the prospective study , the STMBI patients diagnosed in clinical and radiographic were divided into surgery group and the control group , and compared the postoperative mortality of the two groups .After 1-year follow-up, compared the Glasgow outcome scale ( GOS) and Barthal index between the two groups .Result:The present study included a total of 26 subjects, 13 cases in surgery group and 13 in control group .There's no significant difference in age and GCS between two groups.The results of 1-year follow-up showed that the survival rate in surgery group and the control group were 84.6%and 69.2%respectively ( P>0.05) .GOS and Barthal index in surgery group were better than control group ( P<0.05 ) .Conclusion: Compared with conservative treatment , supra-tentorial malig-nant infarcts ( STMBI) of craniotomy surgery in pillow top frontotemporal can not only reduce mortality but also improve the prognosis .%目的：评估额颞枕顶超大骨瓣减压术对幕上恶性脑梗塞（ supra－tentorial malignant in－farcts，STMBI）的临床疗效。方法：采用前瞻性研究的方法，将临床和放射学诊断为STMBI的患者分为手术组和对照组，比较两组的术后死亡率；随访1年后比较两组患者的格拉斯哥预后评分（ GOS）、Bar－thal指数。结果：本次研究共纳入共26例研究对象，其中手术组13例，对照组13例。术前两组年龄、GCS比较差异无统计学意义。随访1年结果显示，手术组和对照组1年生存率分别为为84．6％和69．2％（p＞0．05）。格拉斯哥预后评分（GOS）、Barthal 指数在手术组更好（p＜0．05）。结论：STMBI 患者早期行额颞枕顶超大骨瓣减压术与保守治疗相比，不仅降低了死亡率，还改善了预后。