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目的应用大骨瓣开颅额骨部分回复改良减压术治疗额叶脑挫裂伤,探讨新术式的治疗效果及并发症发生率,并与常规术式比较。方法常规术式为额部开颅减压术,新术式为大骨瓣开颅额骨部分回复改良减压术。选取额叶脑挫裂伤需手术患者40例,随机分成常规术式和新术式两组各20例,对比两组患者术后脑水肿消退时间,意识改善情况,并发症发生率及预后。结果采用新术式的患者与常规术式比较,脑水肿消退时间加快,意识改善情况好转,预后明显改善,并发症发生率低,且两组资料比较差异有统计学意义。结论大骨瓣开颅额骨部分回复改良减压术治疗额叶脑挫裂伤是在对额叶脑挫裂伤病理发生机制的深刻理解基础上提出的一种手术方式,临床应用证实对改善此类患者的预后,降低病残率,提高生活质量,治疗效果显著,值得推广应用。
Objective To treat the frontal lobe contusion and laceration of the frontal lobe with large craniotomy by decompressive craniectomy, and to explore the therapeutic effect and the complication rate of the new surgical approach. Methods Conventional surgical craniotomy for the amount of decompression surgery, the new surgical technique for the cranio-cranial cranial part of the recovery of decompression decompression. Forty patients with frontal lobe contusion and laceration were selected and divided into two groups, 20 cases in each group. The time of edema, consciousness improvement, complication rate and prognosis were compared between the two groups. Results Compared with the conventional operation, the patients with the new surgical procedure had faster resolution of cerebral edema, better consciousness, better prognosis, and lower complication rate. The difference between the two groups was statistically significant. Conclusion The treatment of frontal lobe contusion and laceration in frontal lobe of craniofacial craniofacial craniofacial fossa is a surgical method based on the deep understanding of the pathogenesis of frontal lobe contusion and laceration. The prognosis of such patients, reducing morbidity and improve quality of life, the treatment effect is significant, it is worth promoting the application.