创伤性前颅底粉碎性骨折的处理及缺损修复
Clinical Medicine of China（2012）
Abstract
目的 探讨创伤性前颅底粉碎性骨折的手术处理及缺损修复.方法 对47例创伤性前颅底粉碎性骨折患者临床资料进行回顾分析,结合文献对急诊处理、手术清创和缺损修复进行讨论.结果 3个月后按国际GOS预后评分标准判定,恢复良好36例,轻残6例,重残3例,死亡2例.随访发现31例完全恢复工作和生活,14例遗有不同程度的神经功能障碍,未发现有脑膜膨出.结论 彻底清创术、闭合受损局部的蛛网膜下腔、修复或重建前颅底硬脑膜、骨缺损,是手术成功的关键.
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Key words
Former skull base comminuted fracture,Surgical operation
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