目的:探讨颅骨修补治疗去骨瓣减压后形成的难治性硬膜下积液的效果。方法:选取我院2014年5月—2015年5月间接收的骨瓣减压术后并发难治性硬膜下积液患者54例,按照随机数字的方式,将其分为对照组和观察组各27例。对照组采用硬膜下积液引流联合佩戴弹力帽治疗,观察组采用颅骨修补治疗,对比两种治疗方法的实施效果。结果:观察组的积液消失时间、住院时间、硬膜下积液复发率均低于对照组,两组差异有统计学意义(P<0.05);观察组治疗后的并发症发生率及ADL评分分别为7.41%、(57.6±5.2)分,对照组治疗后的并发症发生率及ADL评分分别为25.93%、(46.7±4.6)分,两组差异有统计学意义(P<0.05)。结论:对骨瓣减压术后并发难治性硬膜下积液患者采用颅骨修补治疗,所得效果显示出较大的优越性,值得临床推广。 Objective: To investigate the effect of cranioplasty on refractory subdural effusion formed after decompressive craniectomy. Methods: Fifty-four patients with refractory subdural effusion after decompressive craniectomy received in our hospital from May 2014 to May 2015 were randomly divided into control group and observation group Group of 27 cases. The control group was treated with subdural effusion combined with elastic cap, and the observation group was treated with skull repair, and the effect of the two treatment methods was compared. Results: The effusion disappearing time, hospitalization time and the recurrence rate of subdural effusion in the observation group were lower than those in the control group, with significant difference between the two groups (P <0.05). The incidence of postoperative complication and ADL The scores of ADL and ADL in control group were 25.93% and 46.7 ± 4.6, respectively. The difference between the two groups was statistically significant (P <0.05). Conclusion: The cranioplasty in patients with refractory subdural effusion after decompressive craniectomy has great advantages and deserves clinical promotion.