Department of Neurosurgery, Royal Melbourne Hospital, Grattan Street, Parkville, Victoria 3050, Australia.
J Clin Neurosci. 2011 Aug;18(8):1023-7. doi: 10.1016/j.jocn.2010.12.025. Epub 2011 May 25.
Decompressive craniectomy is considered a life-saving procedure for malignant middle cerebral artery territory infarction in selected patients. However, the procedure is associated with a significant risk of morbidity and mortality, and there is no universal agreement as to how this operation should be combined with optimal medical management. In this review we consider the goals of this procedure and the technical aspects which may be employed to optimise results.
去骨瓣减压术被认为是一种挽救生命的手术，适用于某些特定患者的恶性大脑中动脉区域梗死。然而，该手术与显著的发病率和死亡率风险相关，对于如何将该手术与最佳的药物治疗相结合，目前尚无普遍共识。在本综述中，我们考虑了该手术的目标以及可能用于优化结果的技术方面。
