【摘要】 目的　探讨严重额颞对冲伤手术方式。方法　我院 1994～ 1998年分别采用扩大翼点入路及传统手术入路治疗 10 2例严重额颞对冲伤患者。结果　经扩大翼点入路治疗 5 6例 ,死亡率 35 .71% ,Jennet 级治愈率 41.0 7% ;经传统额颞瓣治疗 46例 ,死亡率 5 6 .5 2 % ,Jennet 级治愈率 2 1.74%。两组数据经统计学处理均有显著性差异 (P<0 .0 5 )。结论　手术方式的选择是提高疗效的关键 ,经扩大翼点入路大大提高疗效。更多还原

【Abstract】 Objective To explore the methods of operation on severe craniocerebral injuries in frontal and temporal lobes.Methods We had treated 102 cases of patients via modified pterio-approach and fronto-temporal approach respectively from 1994 to 1998.Results The mortality rate and cure rate in patients with Jennet Grade Ⅴ via modified pterio-approach(56 cases)were 35.71% and 41.07% respectively, which were 56.52% and 21.74%respectively via fronto-temporal approach(46cases).They were significantly different( P <0.05).Conclusions It is very important to choose apt operative approach in the patients with severe injuries of frontal and temporal lobe. Patients have excellent outcome via modified pterio-approach. [更多还原