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目的:分析标准大骨瓣在颅脑损伤致大面积脑梗死中治疗效果。方法:将66例患者分为观察组和对照组各33例,分别给予标准大骨瓣及常规开颅术治疗。结果:观察组总有效率63.6%较对照组总有效率48.5%高,术后3d、7d颅内压低于对照组,P<0.05。结论:标准大骨瓣治疗颅脑损伤致大面积脑梗死效果显著,临床价值高。
Objective: To analyze the therapeutic effect of standard large bone flap in large area cerebral infarction caused by craniocerebral injury. Methods: Sixty-six patients were divided into observation group and control group, with 33 cases in each group. They were treated with standard large bone flap and conventional craniotomy respectively. Results: The total effective rate in the observation group was 63.6% higher than that in the control group, and the total effective rate was 48.5%. The intracranial pressure was lower at 3d and 7d after operation than that of the control group (P <0.05). Conclusion: The treatment of craniocerebral injury with standard large bone flap has significant effect on large area cerebral infarction and high clinical value.