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目的总结内镜辅助治疗非对称性脑挫伤的手术经验。方法采用内镜辅助单侧入路大脑镰切开治疗非对称性双额叶脑挫伤21例,与同期双侧开颅20例病人进行比较。结果术后半年GOS评分:恢复良好12例,中残5例,重残1例,植物生存1例,死亡2例。结论选择单侧入路大脑镰切开内镜辅助下清除双额叶非对称性脑挫伤,能明显减少迟发性血肿发生,同时减少因出血水肿造成大脑镰疝及脑中心疝的发生,且创伤小,手术时间短。
Objective To summarize the experience of endoscopic assisted treatment of asymmetric cerebral contusion. Methods Twenty-one cases of asymmetric double-frontal lobe contusion were treated with endoscopic-assisted unilateral hemipliceal approach for the treatment of 20 cases of bilateral frontal lobe contusion compared with 20 cases of bilateral craniotomy. Results Six months after operation, the GOS score recovered well in 12 cases, moderate disability in 5 cases, severe disability in 1 case, plant survival in 1 case and death in 2 cases. Conclusion The removal of double-lobe asymmetric cerebral contusion with the help of unilateral approach with falcated hemisphere can reduce the occurrence of delayed hematoma and reduce the incidence of falx herniation and central herniation due to hemorrhage and edema Small trauma, short operative time.