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《Journal of Bengbu Medicine College》 2003-01
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Combination incisions in frontal-temporal large craniotomy for extensive temporofrontal severe head injury

XU Shan shui,SUN Ke hua,LI Zhen bao,JIANG Xiao chun,DAI Yi,LIN Yuan hao,LI Zhen qiu (Department of Neurosurgery,Yijishan Hospital,Affiliated to Wannan Medical College,Wuhu 241001,China)  
Objective:To evaluate the effect of combination incisions on frontal temporal large craniotomy for treatment of extensive severe temporofrontal head injury. Methods:Seventy five cases of CT diagnosed unilateral severe temporofrontal head injury were randomd to common frontal temporal craniotomy(routine method,in 35 cases) or large craniotomy with combination incisions(combination method,in 40 cases). The effects were evaluated by Glasgow outcome scale and the results were statistically analyzed.Results:The recovery rate in the group with combination method was higher than that with routine method( P 0.05) and the occurrence of intraoperative encephalocele was decreased in the group with combination method but the difference was not significant( P 0.05).The time of posto perative coma was shorter in the group with combination method than that with routine method( P 0.05).Conclusions:The design of combination incisions coincides with the plastic surgery techniques.The decompression of the large craniotomy is complete and reasonable.As the circulation of brain is improved,the prognosis of patients with extensive temporofrontal severe head injury is much better.
【CateGory Index】: R651.15
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