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目的:分析重型颅脑损伤患者应用标准外伤大骨瓣开颅术治疗的效果。方法:选取2014年1月至2015年12月登封市人民医院收治的需行骨瓣开颅术治疗的64例重型颅脑损伤患者作为研究对象,按照手术方法的不同,将患者分为观察组及对照组,对照组患者均采用额颞骨瓣开颅术治疗,观察组则行标准外伤大骨瓣开颅术治疗,比较治疗效果。结果:观察组的治疗总有效率为84.38%(27/32),对照组的治疗总有效率为46.88%(15/32),观察组患者的死亡率为3.13%,对照组患者的死亡率为18.75%,组间有效率及死亡率数据比较,差异具有统计学意义(P<0.05)。结论:重型颅脑损伤采用标准外伤大骨瓣开颅术治疗,降颅压的效果更为显著,减少了继发性颅脑损伤且改善了患者预后。
Objective: To analyze the effect of standard craniotomy in patients with severe craniocerebral injury treated by craniotomy. Methods: Sixty-four patients with severe craniocerebral trauma who underwent craniotomy undergoing craniotomy were enrolled in Dengfeng People’s Hospital from January 2014 to December 2015. According to the different surgical methods, the patients were divided into observation The patients in the control group and the control group were treated with open frontal temporal lobe craniotomy. The observation group was treated with the standard craniotomy and the treatment effect was compared. Results: The total effective rate was 84.38% (27/32) in the observation group and 46.88% (15/32) in the control group. The mortality rate in the observation group was 3.13%. The mortality rate in the control group Was 18.75%. There was significant difference between the two groups in the data of the effective rate and the mortality rate (P <0.05). Conclusion: Severe craniocerebral injury is treated by standard trauma craniotomy. The effect of reducing intracranial pressure is more significant, reducing secondary craniocerebral injury and improving patient prognosis.