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目的:探讨双侧去骨瓣减压术治疗重型颅脑损伤的效果。方法:将我院收治的40例重型颅脑损伤患者的临床资料进行回顾性分析,随机分为观察组20例,采取双侧去骨瓣减压术治疗,对照组20例采取标准大骨瓣减压术治疗。结果:观察组患者恢复良好10例,中度残疾5例,重度残疾3例,植物生存1例,死亡1例;对照组患者恢复良好2例,中度残疾4例,重度残疾7例,植物生存3例,死亡4例。观察组明显优于对照组,2组比较,差异具有显著性(P<0.05)。结论:双侧去骨瓣减压术是治疗重型颅脑损伤行之有效的方法,能降低致残率和病死率,提高患者的生存质量,值得临床推广应用。
Objective: To investigate the effect of bilateral decompressive craniectomy on severe craniocerebral injury. Methods: The clinical data of 40 patients with severe craniocerebral injury admitted to our hospital were retrospectively analyzed. They were randomly divided into observation group (n = 20) and bilateral decompressive craniectomy (n = 20). The control group (n = 20) Decompression surgery. Results: In the observation group, 10 cases recovered well, 5 cases of moderate disability, 3 cases of severe disability, 1 case of plant survival and 1 case of death; 2 cases of good recovery in control group, 4 cases of moderate disability, 7 cases of severe disability, Survival in 3 cases, 4 deaths. The observation group was significantly better than the control group, the difference between the two groups was significant (P <0.05). Conclusion: Bilateral decompressive craniectomy is an effective method for the treatment of severe craniocerebral injury. It can reduce the morbidity and mortality and improve the quality of life of patients. It is worthy of clinical application.