颅内异物的临床特点及摘除策略

发表时间：2014-06-16 浏览次数：962次

引用：

张申起，陈谦学，陈治标等.颅内异物的临床特点及摘除策略[J].中华创伤杂志.2013, 29(3):233-235.

关键词：

CT及Ⅹ线片,C形臂Ⅹ线机及超声定位,CT血管造影,

作者：

张申起，陈谦学，陈治标，郑必全，田道锋，蔡强，彭彬

作者单位：

武汉大学人民医院神经外科,武汉,430060

出版年份：

2013

期刊页数：

233-235

收录者：

2,万方

摘要：

目的探讨颅内异物的临床特点、诊断、摘除策略及预后. 方法回顾性分析20例颅内异物患者的临床资料,并结合相关文献进行分析. 结果 20例患者均采用CT及X线片定位联合术中C形臂X线机及超声定位,进行开颅异物取出手术,共取出异物35块,1例因术中异物移位,未能全部摘除,行二次手术摘除.出院时格拉斯哥预后评分(GOS):良好(4～5分)16例,差(2～3分)3例,死亡(1分)1例. 结论术前采用CT及X线片定位,术中C形臂X线机及超声定位辅助有利于开颅异物取出,患者预后满意. Objective To investigate clinical features,diagnosis,clearance strategies and prognosis of intracranial foreign bodies.Methods Twenty patients with intracranial foreign bodies were analyzed retrospectively,together with review of the related literatures.Results Twenty patients underwent craniotomy for intracranial foreign body removal under guidance of preoperative CT and X-ray localizations and intraoperative C-arm X-ray machine and ultrasound localizations.A total of 35 foreign bodies were removed.One patient underwent second surgical resection after the incomplete removal due to displacement of intracranial foreign bodies.According to Glasgow outcome score (GOS) at discharge,the outcomes were good (GOS =4-5 points) in 16 patients,poor (GOS =2-3 points) in three and death (GOS =1 point) in one.Conclusions CT and X-ray locations before surgery and C-ann X-ray machine and ultrasound locations in operation avail the removal of foreign bodies by craniotomy.In the meantime,prognosis is satisfactory.

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