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目的:探讨双额冠状切口大骨瓣开颅术治疗双额叶脑挫裂伤对疗效及预后影响。方法:分析我院2010年6月—2014年6月收治的60例双额叶脑挫裂伤患者临床资料,分为两组(各30例),对照组予以分次双侧标准大骨瓣开颅术,研究组予以冠状切口大骨瓣开颅术,比较两组治疗效果与预后情况。结果:研究组术中急性脑膨出率16.67%比对照组50.00%低,且术后瞳孔恢复正常或缩小率73.33%比对照组43.33%高(P<0.05);研究组治愈率66.67%比对照组36.67%高,且死亡率3.33%比对照组20.00%低(P<0.05)。结论:双额冠状切口大骨瓣开颅术应用于双额叶脑挫裂伤患者效果显著,可有效改善患者预后。
Objective: To evaluate the effect and prognosis of double forehead craniotomy for treatment of bilateral frontal lobe contusion and laceration. Methods: The clinical data of 60 patients with double frontal lobe contusion and laceration treated in our hospital from June 2010 to June 2014 were divided into two groups (30 cases each). The control group was divided into two groups Craniotomy, the study group was coronally incision craniotomy, the treatment effect and prognosis of the two groups were compared. Results: The acute intracerebral encephalocele rate in study group was 16.67% lower than that in control group (50.00%), and the postoperative pupil recovery or reduction rate was 73.33% higher than that in control group (43.33%) (P <0.05). The cure rate of study group was 66.67% The control group was 36.67% and the mortality rate was 3.33% lower than that of the control group (20.00%, P <0.05). CONCLUSION: Double-volume coronal craniotomy for the treatment of bilateral frontal lobe contusion and laceration is effective and can effectively improve the prognosis of patients.