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目的探讨标准大骨瓣减压手术治疗重型颅脑损伤的疗效。方法回顾性分析80例行标准大骨瓣开颅减压治疗的重型颅脑损伤患者的临床资料。结果术后6～18个月,采用格拉斯哥预后标准(GCS)评估:良好36例(45%),中残10例(12.5%),重残6例(7.5%),植物生存2例(2.5%),死亡26例(31.25%)。结论标准大骨瓣术式清除血肿彻底,减压充分,可改善重型颅脑损伤患者的预后。
Objective To investigate the curative effect of standard decompressive craniectomy on severe craniocerebral injury. Methods The clinical data of 80 patients with severe craniocerebral injury who underwent standard craniotomy decompression were retrospectively analyzed. Results Six months postoperatively, Glasgow Outcomes Scale (GCS) was used to evaluate the outcomes of 36 patients (45%), 10 (12.5%) moderate disability, 6 severe disability (7.5% %), 26 patients died (31.25%). Conclusions The standard large bone flap operation can eliminate the hematoma completely and decompress adequately, which can improve the prognosis of patients with severe traumatic brain injury.