| 摘要: |
| ［摘要］ 目的 探讨外伤性骑跨横窦硬膜外血肿的临床类型特点及手术方式选择。方法 分析36例外伤性骑跨横窦硬膜外血肿的临床资料、术式选择及临床疗效。结果 手术治疗27例，22例血肿清除满意，5例血肿部分残留,按GOS评分评估预后：痊愈15例，基本恢复正常8例，中残2例，重残1例，死亡1例。保守治疗9例，均恢复良好。结论 重视外伤性骑跨横窦硬膜外血肿的临床监护，动态复查头颅CT，根据不同的血肿类型，选择不同的手术方式，可提高临床疗效及抢救成功率。 |
| 关键词: 横窦 硬膜外血肿 开颅手术 |
| DOI：10.3969/j.issn.1674-3806.2013.11.18 |
| 分类号:R 651.1+1 |
| 基金项目: |
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| Traumatic epidural hematoma straddling the transverse sinus： clinical type and selection of operative methods |
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QIN Si-jie,YANG Bo-han
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Department of Neurosurgery, the People′s Hospital of Yizhou City,Guangxi 546300,China
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| Abstract: |
| ［Abstract］ Objective To explore the clinical characteristics and selection of surgical procedure of traumatic epidural hematoma straddling the transverse sinus.Methods The clinical data,including operative methods and clinical curative effect of 36 cases of traumatic epidural hematoma straddling the transverse sinus was retrospectively analyzed.Results Of 27 cases receiving surgical treatment, 22 cases had hematoma removal of satisfaction, 5 cases had hematoma part residual. According to GOS scores, prognosis estimating showed: 15 cases were cured, almost returned to normal in 8 cases, moderate disability in 2 cases, severe disability in 1 case, 1 case died.In 9 cases receiving of conservative treatment, all recovered well.Conclusion Paying affection to clinical monitoring of patients with the traumatic epidural hematoma straddling the transverse sinus, dynamically reviewing head CT, choosing different operation method according to the different type of hematoma, can improve the clinical curative effect and the rescue success rate. |
| Key words: Transverse sinus Epidural hematoma Craniotomy operation |
