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目的:观察探讨标准大骨瓣减压术治疗重型颅脑损伤的临床疗效,总结其临床应用价值。方法:选取我院2009年3月～2011年3月168例重型颅脑损伤的患者,随机分为观察组和对照组,各84例,观察组采用标准大骨瓣减压术治疗,对照组采用常规骨瓣开颅术治疗,观察比较2组治疗效果。结果:2组GCS评分及预后情况比较差异显著,观察组GCS评分及预后改善程度明显优于对照组(P<0.05),具有统计学意义。结论:标准大骨瓣减压术治疗重型颅脑损伤的临床疗效显著,明显优于常规骨瓣开颅术治疗,能有效改善临床症状,减少致残率及死亡率,具有重要的临床应用价值。
Objective: To observe the clinical effect of standard large bone flap decompression in treating severe craniocerebral injury, and to summarize its clinical value. Methods: A total of 168 severe craniocerebral injury patients from March 2009 to March 2011 in our hospital were randomly divided into observation group (84 cases) and control group (84 cases). The control group Conventional bone flap craniotomy treatment, observation and treatment of 2 groups were compared. Results: There was significant difference between the two groups in GCS score and prognosis. GCS score and prognosis in the observation group were significantly better than those in the control group (P <0.05), with statistical significance. Conclusion: The treatment of severe craniocerebral injury by standard decompressive craniectomy has significant clinical effect, which is obviously superior to conventional craniotomy. It can effectively improve the clinical symptoms, reduce the morbidity and mortality, and has important clinical value .