目的 单侧入路显微手术治疗双侧额叶脑挫裂伤的效果。方法 收集北部战区总医院2019年4月至2020年4月医治的72例双侧额叶脑挫裂伤患者进行研究，依照手术形式的不同划分为试验组和对照组，每组有36例患者。对照组患者选用常规双侧入路显微手术，试验组患者选用单侧入路显微手术，比较两组患者的医治效果、临床手术状况、并发症情况、FAB评分、预后状况。结果 试验组与对照组患者的治疗总有效率分别是94.44%、83.33%，试验组患者的医治效果相比于对照更高（P＜0.05）；试验组患者的手术时间、术中失血量、在院时长“,”Objective To evaluate the effect of unilateral approach microsurgery in the treatment of bilateral frontal lobe contusion and laceration. Methods Seventy-two patients with bilateral frontal lobe brain contusion and laceration treated in Norther Theater Command General Hospital from April 2019 to April 2020 were studied. According to different surgical forms， they were divided into experimental group and control group， with 36 patients in each group. Conventional bilateral approach microsurgery was used in the control group and unilateral approach microsurgery was used in the experimental group. The treatment effect， clinical operation status， complications， FAB score and prognosis of the two groups were compared. Results The total effective rates of the experimental group and the control group were 94.44% and 83.33% respectively; the operation time， intraoperative blood loss and hospital time of the patients in the experimental group were more ideal than those in the control group; the total incidence of complications in the experimental group and the control group were 8.33% and 25.00% respectively; after treatment， the FAB score of patients in the experimental group was better than that of the control group; the prognosis of patients in the experimental group was better than that in the control group， and there was a great difference between the groups (P ＜0.05). Conclusion Unilateral approach microsurgery for patients with bilateral frontal lobe contusion and laceration has ideal therapeutic effect， effectively reduces intraoperative bleeding and operation time， so as to reduce the occurrence of complications and good prognosis.