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目的:分析标准外伤大骨瓣开颅减压术治疗重型颅脑外伤的临床效果。方法:择取2012年1月-2016年1月我院收治的50例重型颅脑损伤者为研究对象,现结合患者手术方式,将其分为对照组以及观察组,每组25例。观察组使用标准外伤大骨瓣开颅减压术,对照组使用传统开颅减压术分析两组患者并发症发生情况和临床预后。结果:相较于对照组,观察组患者的半年后预后情况更好,P<0.05.与对照组相比,观察组患者术后并发症发生例数显著偏低P<0.05。结论:对于重型颅脑外伤者,使用标准大骨瓣开颅减压术安全性高,术后并发症少,可促进患者疾病转归,值得进一步在临床中推广使用。
Objective: To analyze the clinical effect of craniotomy decompression with standard trauma craniectomy on severe traumatic brain injury. Methods: Fifty patients with severe craniocerebral injury who were treated in our hospital from January 2012 to January 2016 were enrolled in this study. Patients were divided into control group and observation group with 25 cases in each group. The observation group was treated with standard craniotomy and craniotomy decompression. The control group was given conventional craniotomy decompression to analyze the complication and clinical prognosis of the two groups. Results: Compared with the control group, the prognosis of the observation group was better after six months, P <0.05.Compared with the control group, the incidence of postoperative complications in the observation group was significantly lower than that of the control group (P <0.05). Conclusion: For patients with severe craniocerebral injury, craniotomy decompression using standard large bone flap is safe, less postoperative complications, and can promote the prognosis of patients. It is worth further promotion in clinical practice.