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[颅脑创伤中大脑镰下脑脱位的诊断及外科治疗方法]

[The diagnosis and method of surgical treatment in dislocation of the brain under the falx cerebri in craniocerebral trauma].

作者信息

Krylov V V, Lebedev V V, Ioffe Iu S, Saribekian A S

出版信息

Zh Vopr Neirokhir Im N N Burdenko. 1990 May-Jun(3):3-6.

PMID:2168652
Abstract

In 6.6% of cases a severe craniocerebral trauma is accompanied with dislocation of the brain under the falx cerebri with incarceration of the cingulate gyrus. The diagnosis of dislocation under the falx in intracranial traumatic hematoma and brain contusion-crushing is discussed. Falxotomy may be among the methods for the prevention or correction of incarceration of the cingulate gyrus. The authors suggest an operative approach for performing falxotomy with little injury as well as a surgical instrument for one-stage clipping of the inferior sagittal sinus and its division.

摘要

在6.6%的病例中,严重颅脑外伤伴有大脑镰下脑移位及扣带回嵌顿。讨论了颅内创伤性血肿和脑挫裂伤时大脑镰下移位的诊断。大脑镰切开术可能是预防或纠正扣带回嵌顿的方法之一。作者提出了一种微创大脑镰切开术的手术方法以及一种用于一期夹闭下矢状窦并将其离断的手术器械。

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