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目的探讨双额叶脑挫裂伤及颅内血肿的手术入路及临床疗效。方法采用单侧入路手术治疗双额叶脑挫裂伤及颅内血肿患者45例作为实验组,回顾采用双侧入路手术治疗双额叶脑挫裂伤及颅内血肿患者45例作为对照组。比较两组患者的预后情况等。结果实验组患者与对照组患者的预后相比无明显差异(P>0.05),实验组患者手术时间、住院时间、输血量、精神障碍发生率、嗅神经损伤发生率、住院费用较明显优于对照组(P<0.05)。结论根据患者自身的综合情况,采用单侧入路的手术方式治疗双额叶脑挫裂伤及颅内血肿可以明显减少患者的术中损伤,值得在临床推广。
Objective To investigate the surgical approach and clinical efficacy of double frontal lobe contusion and intracranial hematoma. Methods Forty-five patients with bilateral frontal lobe contusion and intracranial hematoma were treated with unilateral approach for the treatment of 45 cases of double frontal lobe contusion and intracranial hematoma. group. Compare the prognosis of two groups of patients. Results There was no significant difference in the prognosis between experimental group and control group (P> 0.05). The operation time, hospitalization time, blood transfusion, incidence of mental disorders, incidence of olfactory nerve injury, and hospitalization costs in the experimental group were significantly better than those in the control group Control group (P <0.05). Conclusion According to the patient’s own comprehensive situation, the treatment of bilateral frontal lobe contusion and intracranial hematoma by unilateral approach can significantly reduce the intraoperative injury, which is worthy of clinical promotion.