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| Clinical Evaluation of Unilateral Craniotomy for Frontal Lobe Contusion and Laceration Combined with Intracranial Hematoma |
| WANG Xiang-ye, LU Hui, CUI Chang-fu,et al |
| 521 Hospital of NORINCO GROUP,xi'an 710065 |
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Abstract 【Objective】To explore the clinical effect of unilateral craniotomy in the treatment of frontal lobe contusion and laceration combined with intracranial hematoma.【Methods】From June 2015 to June 2017, 110 patients with frontal lobe contusion and laceration combined with intracranial hematoma in our hospital were divided into unilateral craniotomy (observation group,n=60) and bilateral craniotomy (control group, n=50). The operation time, blood transfusion volume, hospitalization time, Glasgow Coma score (GCS) and Glasgow pre-treatment were compared between the two groups The changes of serum NSE, S100 β protein and lactate were observed before and after operation. 【Results】 The operation time, blood transfusion volume and hospitalization time in the observation group were significantly lower than those in the control group (P<0.05). One week after operation, the GCS score of the observation group was significantly higher than that of the control group (P<0.05). Three months after operation, the prognosis of the patients in the observation group was 66.67%, which was significantly higher than that in the control group (46.00%) (P<0.05). There was no significant difference in serum NSE, S100 β protein and blood lactate concentration between the two groups on the first day after operation (P>0.05); the serum NSE, S100 β protein and blood lactate concentration in the observation group were significantly lower than those in the control group on the first week after operation (P<0.05).【Conclusion】Compared with bilateral craniotomy, the patients with frontal lobe contusion combined with intracranial hematoma have less trauma and better postoperative recovery.
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Received: 24 October 2018
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[1] 冯磊,林涛,车海江,等.单侧开颅联合大脑镰下切开术治疗双额叶脑挫裂伤的临床疗效[J].神经损伤与功能重建,2016,11(2):119-121.
[2] 马一鸣.颅脑损伤患者术后迟发性颅内血肿的影响因素研究[J].实用心脑肺血管病杂志,2016,24(3):27-30.
[3] 汪惊涛,傅先明,钱若兵,等.双额叶脑挫裂伤病情恶化危险因素及手术干预后疗效分析[J].安徽医科大学学报,2016,51(8):1208-1212.
[4] 唐韬,胡国良.不同手术方式治疗双额叶脑挫裂伤的临床疗效比较[J].海南医学,2016,27(18):3035-3037.
[5] 杨波.额叶挫裂伤手术时机的相关因素分析[J].神经损伤与功能重建,2016,11(6):521-523.
[6] 牟晓洋,李栋良,张光亮,等.锁孔手术治疗老年患者额叶脑挫裂伤合并脑内血肿的临床研究[J].重庆医学,2017,46(8):1100-1102.
[7] 王永志,钱令涛,高志波,等.两种手术入路治疗非对称性双额叶脑挫裂伤的疗效比较[J].蚌埠医学院学报,2016,41(12):1570-1572.
[8] Nanda A,Maiti T K,Bir SC,et al.Olfactory groove meningiomas: comparison of extent of frontal lobe changes after lateral and bifrontal approaches[J].World Neurosurg,2016,94(S 1):211-221.
[9] 张福成.不同手术入路治疗非对称性双额叶脑挫裂伤伴脑内血肿的疗效分析[J].中国药物与临床,2017,17(1):124-126. |
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2020, Vol. 37 
