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目的:对比标准大骨瓣开颅减压术与常规骨瓣开颅减压术治疗重型颅脑损伤的临床疗效。方法:根据患者手术方式将其分为观察组与对照组,观察组45例患者接受标准大骨瓣开颅减压术,对照组44例患者接受常规骨瓣开颅减压术,比较两组患者治疗效果及并发症发生情况。结果:治疗总有效率统计结果显示观察组患者治疗总有效率明显高于对照组,P<0.05,差异具有统计学意义;观察组患者术后并发症发生率明显低于对照组,P<0.05,差异具有统计学意义。结论:采用标准大骨瓣开颅减压术治疗重型颅脑损伤临床疗效显著,可有效缓解颅内高压症状,并可有效清除颅内血肿、失活组织,同时术后并发症发生率较低,手术安全性相对较高,具有临床应用及推广价值。
OBJECTIVE: To compare the clinical effects of standard craniotomy decompression and conventional craniotomy decompression for treatment of severe craniocerebral injury. Methods: According to the way of operation, the patients were divided into observation group and control group. In the observation group, 45 patients underwent standard craniotomy decompression. In the control group, 44 patients underwent craniotomy decompression. Patient treatment and complications. Results: The total effective rate of treatment showed that the total effective rate of observation group was significantly higher than that of control group, P <0.05, the difference was statistically significant; the incidence of postoperative complications in observation group was significantly lower than that of control group, P <0.05 , The difference was statistically significant. CONCLUSION: The treatment of severe craniocerebral injury by standard craniotomy decompression is significant, which can effectively relieve the symptoms of intracranial hypertension and effectively remove intracranial hematomas and inactivation of tissues. At the same time, the incidence of postoperative complications is low , Surgical safety is relatively high, with clinical application and promotion of value.