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目的探讨镜下天幕切开术对重型颅脑损伤患者的临床治疗效果。方法 88例重型颅脑损伤患者,随机分成研究组与对照组,各44例。研究组采用镜下天幕切开术进行治疗,对照组使用常规手术治疗,对两组患者治疗的总有效率和术后并发症进行对比研究。结果研究组恢复良好率为81.82%,明显高于对照组的61.36%,差异具有统计学意义(P<0.05);两组残疾情况和死亡率比较差异均无统计学意义(P>0.05)。结论对重型颅脑损伤患者实行镜下天幕切开术,具有明显的治疗效果,且术后并发症发生率较低,值得临床推广应用。
Objective To investigate the clinical effect of microsurgery on patients with severe craniocerebral injury. Methods 88 cases of severe craniocerebral injury were randomly divided into study group and control group, 44 cases in each group. The study group was treated with under-the-canopy incision, and the control group was treated with conventional surgery. The total effective rate and postoperative complications of the two groups were compared. Results The good rate of recovery in the study group was 81.82%, which was significantly higher than that in the control group (61.36%), the difference was statistically significant (P <0.05). There was no significant difference in disability and mortality between the two groups (P> 0.05). Conclusion The patients with severe craniocerebral injury underwent microsurgical incision, which has obvious curative effect and low incidence of postoperative complications, which is worthy of clinical application.