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目的探讨外伤性颅内多发性血肿外科手术治疗的临床体会。方法 68例外伤性颅内多发性血肿患者,随机分为对照组与观察组,每组34例。对照组行分期双侧开颅手术治疗,观察组行一期双侧开颅手术治疗。对比两组疗效和预后。结果观察组治疗良好率、重度残疾率、死亡率分别为79.4%、17.6%、2.9%,对照组分别为47.1%、38.2%、14.7%,观察组治疗效果优于对照组(P<0.05)。治疗后观察组格拉斯哥预后评分(GOS)与对照组比较差异有统计学意义(P<0.05)。结论一期双侧开颅手术方案较分期双侧开颅手术方案治疗外伤性颅内多发性血肿的效果更优,患者预后良好,致残致死率低,值得推广应用。
Objective To investigate the clinical experience of surgical treatment of traumatic intracranial multiple hematomas. Methods 68 cases of traumatic intracranial multiple hematoma patients were randomly divided into control group and observation group, 34 cases in each group. The control group underwent bilateral craniotomy, and the observation group underwent bilateral craniotomy. The curative effect and prognosis of two groups were compared. Results The observation group was better than the control group (79.4%, 17.6%, 2.9%), and the control group was 47.1%, 38.2% and 14.7% respectively. The observation group was superior to the control group (P <0.05) . After treatment, the Glasgow prognostic score (GOS) in the observation group was significantly different from that in the control group (P <0.05). Conclusions The treatment of traumatic multiple intracranial hematoma is better than the bilateral craniotomy for staging craniotomy. The prognosis of the patients is good, and the death rate of disability is low, which is worth popularizing and applying.