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目的:探讨比较两种不同手术方式治疗重症颅脑损伤临床疗效的差异。方法:选取我院2012年5月至2015年2月收治的112例重型颅脑损伤患者进行分组治疗,随机平均分为两组,研究组与对照组,每组各56例,其中研究组患者采用大骨瓣开颅减压手术进行治疗,对照组采用常规性骨瓣开颅减压手术治疗,治疗3个月后,比较两组患者治疗效果,随访6个月,对两组患者并发情况进行记录并统计分析。结果:研究组患者经大骨瓣开颅减压手术治疗疗效确切,治疗有效率89.3%明显高于对照组治疗有效率67.9%,各种并发症发生率显著小于对照组并发症发生率,统计学检验有意义(P<0.05)。结论:大骨瓣开颅减压手术治疗重症颅脑损伤疗效确切,并发症较少,值得在临床中应用与推广。
Objective: To investigate the difference of clinical curative effect between two different surgical methods in the treatment of severe craniocerebral injury. Methods: One hundred and twelve patients with severe traumatic brain injury admitted to our hospital from May 2012 to February 2015 were randomly divided into two groups: study group and control group, with 56 cases in each group. The patients in study group Large craniotomy craniotomy decompression surgery, the control group using conventional craniotomy decompression surgery, after 3 months of treatment, the treatment effect of two groups were compared, followed up for 6 months, the two groups of patients with complications Record and statistical analysis. Results: In the study group, the curative effect of decompressive craniectomy was clear. The effective rate of treatment was 89.3%, which was significantly higher than that of the control group (67.9%). The complication rates of various complications were significantly lower than those of the control group The test was significant (P <0.05). Conclusion: The treatment of severe craniocerebral injury with decompressive craniectomy is effective and has fewer complications. It is worthy of clinical application and promotion.