目的:分析应用标准大骨瓣减压术治疗额颞叶脑挫裂伤的疗效。方法:回顾性分析38例对冲性额颞叶脑挫裂伤患者进行标准大骨瓣开颅术的临床资料。结果:根据GOS分级标准,38例手术患者中存活30例(78.9%),其中恢复良好18例(47.5%),中度残废6例(15.8%),重度残废3例(7.8%),植物生存3例(7.8%),死亡8例(21.1%)。结论:标准外伤骨瓣开颅治疗对冲性额颞部脑挫伤伴血肿具有视野好、暴露充分、减压彻底等优点,在降低致残率,改善患者的预后、预防并发症的发生等方面均有优势,具有较强的临床实用性。 OBJECTIVE: To analyze the curative effect of treating standard frontotemporal lobar cerebral contusion with standard decompressive craniectomy. Methods: The clinical data of 38 patients with hemorrhagic frontotemporal contusion and laceration were retrospectively analyzed. Results: According to the GOS grading standards, 30 patients (78.9%) survived in 38 surgical patients, including 18 cases (47.5%) recovered well, 6 moderate disability (15.8%), 3 severe disability (7.8% Survival in 3 cases (7.8%), death in 8 cases (21.1%). Conclusion: Standard traumatic craniotomy for the treatment of frontotemporal and temporal brain contusion with hematoma has the advantages of good field of vision, adequate exposure and thorough decompression. Both of them are effective in reducing the morbidity, improving the prognosis and preventing the complications Have advantages, with strong clinical practicality.