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目的：分析对冲性双额叶脑挫裂伤的临床治疗方法以及对治疗结果的影响。方法选取2010年3月~2014年3月本院诊治的104例对冲性双额叶脑挫裂伤患者的临床资料，按照患者脑挫裂伤体积分为两组，对照组52例患者体积≤50ml，研究组52例患者体积跃50ml，两组患者均根据临床实际情况予以手术或非手术治疗，分析两组患者治疗后的GOC评分及临床结局。结果对照组手术治疗与非手术治疗后临床结局比较差异不明显(跃0.05)；研究组患者手术治疗后GOS评分(3.97±0.24)分高于非手术治疗后(2.85±0.22)分，残疾率、死亡率均明显低于非手术(0.05)while in the study group significant dif erence was found in the GOS score between the surgical y treated (3.97±0.24) and the non-surgical y (2.85±0.22) ( <0.05).Both disability and mortality in the surgical cases were significantly lower than those non-surgical.Conclusion As the double frontal contracoup brain contusion is a process of evolution, close monitoring on CT and consciousness is vital y decisive if the contused brain volume is large enough(50ml and up).