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目的:对比标准大骨瓣减压术与常规骨瓣减压术治疗重型颅脑损伤的临床疗效。方法:将2009年3月~2013年3月我科收治的80例重型颅脑损伤患者随机分成对照组和观察组,其中对照组给予常规骨瓣减压术,观察组则施行标准大骨瓣减压术,记录资料并作回顾性分析。结果:术后1、3、7天观察组患者颅内压显著性降低且小于对照组,有效率大于对照组而并发症发生率低于对照组,且差异均具有统计学意义(P<0.05)。结论:标准大骨瓣减压术治疗重型颅脑损伤的效果优于常规骨瓣减压术,值得推广。
Objective: To compare the clinical curative effect of standard decompressive craniectomy and conventional decompression of bone flap for treatment of severe craniocerebral injury. Methods: Eighty patients with severe craniocerebral injury who were treated in our department from March 2009 to March 2013 were randomly divided into control group and observation group, in which the control group was given conventional decompression of bone flap while the observation group was treated with standard big bone flap Decompression, record data and make retrospective analysis. Results: The intracranial pressure of the observation group decreased significantly and less than that of the control group on the 1st, 3rd, 7th day after operation, the effective rate was higher than that of the control group and the complication rate was lower than that of the control group (P <0.05 ). Conclusion: The treatment of severe craniocerebral injury by standard decompressive craniectomy is superior to the conventional decompression of bone flap and is worth promoting.