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[目的]探讨不同手术方法治疗急性颅脑创伤的临床效果。[方法]本文采用改良大骨瓣开颅内外减压手术治疗急性颅脑创伤,并与常规骨瓣开颅手术治疗的对照组进行临床疗效比较。[结果]观察组脑中线移位基本恢复的患者明显多于对照组(P﹤0.05)。观察组的术后颅内压明显低于对照组(P﹤0.05)。观察组的平均GCS计分、恢复良好和中残的病例数均明显高于对照组(P﹤0.05)。[结论]与常规骨瓣开颅手术相比,改良大骨瓣开颅内外减压术能有效降低急性颅脑损伤患者的颅内压,改善患者的预后,提高急性颅脑损伤的治疗效果;具有显露充分、操作方便的优点,值得临床推广使用。
[Objective] To investigate the clinical effects of different surgical methods in the treatment of acute traumatic brain injury. [Method] In this paper, craniocerebral and ocular decompression surgery was used to treat acute traumatic brain injury. The clinical curative effect was compared with that of control group treated with craniotomy. [Results] The patients in the observation group were more than those in the control group (P <0.05). Postoperative intracranial pressure in the observation group was significantly lower than that in the control group (P <0.05). The average score of GCS, the number of recovered cases and the number of disabled cases in the observation group were significantly higher than those in the control group (P <0.05). [Conclusion] Compared with conventional craniotomy, craniofacial decompression can effectively reduce intracranial pressure, improve prognosis and improve the therapeutic effect of acute craniocerebral injury in patients with acute craniocerebral injury. Has the advantages of fully exposed, easy to operate, it is worth to promote clinical use.