[1]刘　斌　柴辉辉　许裕彬　黎见明　李少鹏.早期去骨瓣减压+颞肌贴敷术治疗幕上大面积脑梗死[J].中国临床神经外科杂志,2019,(03):162-164.[doi:10.13798/j.issn.1009-153X.2019.03.012]
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早期去骨瓣减压+颞肌贴敷术治疗幕上大面积脑梗死()

《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
期数:
2019年03期
页码:
162-164
栏目:
论著
出版日期:
2019-03-20

文章信息/Info

文章编号:
1009-153X（2019）03-0162-03
作者:
刘　斌　柴辉辉　许裕彬　黎见明　李少鹏
作者单位：523000 广东，东莞市人民医院神经外科（刘　斌、柴辉辉、李少鹏），放射科（黎见明）；523000 广东，东莞市厚街医院神经外科（许裕彬）
关键词:
幕上大面积脑梗死; 去骨瓣减压术; 颞肌贴敷术; 脑灌注成像
分类号:
R 743.3; R 651.1+2
DOI:
10.13798/j.issn.1009-153X.2019.03.012
文献标志码:
B
摘要:
目的 探讨早期去骨瓣减压+颞肌贴敷术治疗幕上大面积脑梗死的临床疗效。方法 回顾性分析2015年1月至2017年1月去骨瓣减压+颞肌贴敷术治疗的34例幕上大面积脑梗死的临床资料。根据手术时间分为早期组（发病后24 h内手术，16例）和常规组（发病后24~72 h手术，18例）。结果 早期组术后1个月死亡1例；常规组术后1个月死亡2例，术后2个月死亡1例；其余30例术后至少随访6个月。与常规组相比，早期组术后3、6个月脑梗死面积明显减少（P<0.05），神经功能及脑灌注明显改善（P<0.05）。术后3个月，早期组恢复良好率（60.0%，9/15）明显高于常规组（20.0%，3/15；P<0.05）；两组术后6个月恢复良好率无统计学差异（60.0% vs. 33.3%；P>0.05）。结论 对于幕上大面积脑梗死，早期去骨瓣减压+颞肌贴敷术能够显著减少脑梗死面积，改善神经功能。

参考文献/References:


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备注/Memo

备注/Memo:
基金项目：东莞市医疗卫生一般项目（201610515000636）
通讯作者：李少鹏，E-mail：ddyylsp@163.com
更新日期/Last Update: 2019-03-25