减压性颅骨切除术治疗大脑中动脉恶性梗死：死亡率和预后
Decompressive craniotomy for the treatment of malignant infarction of the middle cerebral artery: mortality and outcome.
作者信息
Bongiorni Gianise Toboliski, Hockmuller Marjeane Cristina Jaques, Klein Cristini, Antunes Ápio Cláudio Martins
机构信息
Universidade Federal do Rio Grande do Sul, Programa de Pós-Graduação em Ciências Médicas - Ciência Cirúrgica, Porto Alegre RS, Brasil.
Universidade Federal do Rio Grande do Sul, Programa de Pós-Graduação em Ciências Médicas, Porto Alegre RS, Brasil.
出版信息
Arq Neuropsiquiatr. 2017 Jul;75(7):424-428. doi: 10.1590/0004-282X20170053.
OBJECTIVE
To assess, by Rankin scale, the functional disability of patients who had a malignant middle cerebral artery (MCA) ischemic stroke, who underwent decompressive craniotomy (DC) within the first 30 days.
METHODS
A cross-sectional study in a University hospital. Between June 2007 and December 2014, we retrospectively analyzed the records of all patients submitted to DC due to a malignant MCA infarction. The mortality rate was defined during the hospitalization period. The modified outcome Rankin score (mRS) was measured 30 days after the procedure, for stratification of the quality of life.
RESULTS
The DC mortality rate was 30% (95% CI 14.5 to 51.9) for the 20 patients reported. The mRS 30 days postoperatively was ≥ 4 [3.3 to 6] for all patients thereafter.
CONCLUSION
DC is to be considered a real alternative for the treatment of patients with a malignant ischemic MCA infarction.
目的
采用Rankin量表评估在发病30天内接受减压颅骨切除术（DC）的大脑中动脉（MCA）恶性缺血性卒中患者的功能残疾情况。
方法
在一家大学医院进行的横断面研究。2007年6月至2014年12月期间，我们回顾性分析了所有因恶性MCA梗死接受DC治疗的患者的记录。在住院期间确定死亡率。术后30天测量改良Rankin结局评分（mRS），用于生活质量分层。
结果
报告的20例患者中，DC死亡率为30%（95%CI 14.5至51.9）。此后所有患者术后30天的mRS均≥4[3.3至6]。
结论
DC应被视为治疗恶性缺血性MCA梗死患者的一种切实可行的替代方法。
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