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目的:探究冠状切口大骨瓣开颅术治疗双侧额叶脑挫裂伤的临床疗效。方法:将在我院于2015年2月-2016年2月接收治疗的44例双侧额叶脑挫裂伤患者纳入研究,按随机数字表法分为2组,各22例;对照组患者给予常规治疗,观察组患者给予冠状切口大骨瓣开颅术治疗,对比两组患者的治疗效果。结果:在瞳孔恢复及急性脑膨出例数指标上,观察组与对照相比明显更低,两组数据差异有统计学意义(P<0.05);在输血量、手术时间、住院时间指标上,观察组与对照组相比明显更少,两组数据差异有统计学意义(P<0.05)。结论:在治疗双侧额叶脑挫裂伤患者的过程中,给予冠状切口大骨瓣开颅术治疗的效果良好,改善患者临床症状。因此值得在临床治疗中推广使用。
Objective: To investigate the clinical effect of coronalectomy and craniotomy on bilateral frontal lobe contusion and laceration. Methods: Forty-four patients with bilateral frontal lobe contusion and laceration who received treatment in our hospital from February 2015 to February 2016 were enrolled in the study. According to the random number table, the patients were divided into two groups (n = 22). Patients in the control group Given conventional treatment, patients in the observation group were treated with craniotomy with a large incision in the coronary incision, and the treatment effect was compared between the two groups. Results: In the cases of pupil recovery and acute encephalocele, the observation group was significantly lower than the control group, the difference between the two groups was statistically significant (P <0.05); in transfusion volume, operation time, hospitalization time , The observation group was significantly less than the control group, the difference between the two groups was statistically significant (P <0.05). CONCLUSION: In the treatment of patients with bilateral frontal lobe contusion and laceration, the effect of giving craniotomy with large incision of coronal cut is good and the clinical symptoms are improved. It is worth to promote the use of clinical treatment.