Modified decompressive craniectomy in combination with indirect revascularization for the treatment of massive cerebral infarction
10.3760/cma.j.issn.1673-4165.2009.12.003
- VernacularTitle:改良大骨瓣减压联合间接血管重建术治疗大面积脑梗死
- Author:
Xiaochun SHE
;
Yongjun CHEN
;
Zhen WANG
;
Jianjun HE
;
Xiaoming JIANG
;
Aiming CHEN
;
Jinlin LI
;
De SUN
- Publication Type:Journal Article
- Keywords:
brain infarction;
craniotomy;
decompression,surgical;
cerebral revascularization
- From:
International Journal of Cerebrovascular Diseases
2009;17(12):902-907
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the operative methods and their efficacy of the modified decompressive craniectomy in combination with indirect revascularization for the treatment of massive cerebral infarction. Methods The clinical data of 15 patients with massive cerebral infarction who underwent modified decompressive craniectomy in combination with encephaloduroarteriomyosynangiosis were analyzed retrospectively. The clinical efficacy was assessed according to the mortality, Barthel Index and modified Rankin scale. Results All the patients were followed up, and 12 patients survived 3 months after operation, of those, 4 had a good functional outcome; 11 patients survived 6 month after operation, of those, 7 had a good functional outcome. Conclusions The modified decompressive craniectomy in combination with indirect revascularization for the treatment of massive cerebral infarction could effectively treat massive cerebral infarction and increase the survival rate and life quality of patients, however, the surgical timing, surgical indications and surgical skills are needed to master accurately.
