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目的:探究标准大骨瓣开颅血肿清除术在重型颅脑外伤侧裂区损伤治疗中的应用效果。方法:选取2014年1月至2016年1月60例重型颅脑外伤侧裂区损伤患者作为本次研究对象,按照分段随机分组法将患者分为2组,实验组接受标准大骨瓣开颅血肿清除术进行治疗,对照组则接受一般大骨瓣开颅血肿清除术进行治疗,对比2组重型颅脑外伤侧裂区损伤患者治疗情况的差异性。结果:实验组重型颅脑外伤侧裂区损伤患者经标准大骨瓣开颅血肿清除术治疗后的颅内压、中线移位、GCS评分、脑水肿体积以及生存率等情况均明显优于对照组(P<0.05)。结论:重型颅脑外伤侧裂区损伤患者接受标准大骨瓣开颅血肿清除术治疗,可以取得较好的效果,值得推广。
Objective: To investigate the effect of standard craniectomy hematoma removal in the treatment of lateral craniofacial injury. Methods: From January 2014 to January 2016, 60 patients with severe craniocerebral injury from lateral fissure area were selected as the object of this study. Patients were divided into two groups according to the randomized grouping method. The experimental group received standard large bone flap Cranial hematoma removal was performed in the control group, while the control group received general treatment of large craniotomy and hematoma resection. The differences between the two groups in the treatment of severe traumatic brain injury were compared. Results: The intracranial pressure, median shift, GCS score, volume of brain edema, and survival rate of the patients with severe craniocerebral injury in the experimental group were significantly better than those in the control group Group (P <0.05). Conclusion: Patients with severe craniocerebral traumatic brain injury undergoing standard craniotomy for large craniotomy can achieve better results and are worthy of popularization.