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目的探讨标准外伤大骨瓣开颅术对额颞部重型颅脑损伤患者术后神经功能及并发症的影响。方法选取临汾市中心医院2015年6月—2016年6月收治的额颞部重症颅脑损伤患者90例,随机分为观察组与对照组,各45例。观察组予以标准外伤大骨瓣开颅术,对照组患者予以常规骨瓣开颅术,比较两组患者临床疗效、神经功能缺损评分及并发症发生情况。结果观察组患者治疗良好率高于对照组,重残率、病死率低于对照组(P<0.05)。两组患者中残率、植物状态率比较,差异无统计学意义(P>0.05)。术前两组神经功能损伤评分比较,差异无统计学意义(P>0.05)。术后观察组神经功能损伤评分低于对照组(P<0.05)。观察组患者并发症发生率低于对照组(P<0.05)。结论标准外伤大骨瓣开颅术治疗额颞部重型颅脑损伤的临床疗效好且安全性高,对患者神经功能的修复效果较理想。
Objective To investigate the effect of standard craniotomy on the neurological function and complications of patients with frontotemporal and severe craniocerebral injury. Methods Ninety patients with frontotemporal and severe craniocerebral injury admitted from June 2015 to June 2016 in Linfen Central Hospital were randomly divided into observation group and control group, with 45 cases in each group. The observation group was given standard traumatic craniotomy. The control group was given conventional craniotomy. The clinical efficacy, neurological deficit score and complication were compared between the two groups. Results The observation group patients with good treatment rate was higher than the control group, severe disability and mortality was lower than the control group (P <0.05). There was no significant difference between the two groups in the residual rate and the plant state rate (P> 0.05). There was no significant difference between the two groups in neurological injury scores (P> 0.05). Postoperative neurological impairment scores in the observation group were lower than those in the control group (P <0.05). The complication rate in observation group was lower than that in control group (P <0.05). Conclusion Standard traumatic craniotomy for the treatment of frontotemporal severe craniocerebral injury has good curative effect and high safety, and is satisfactory for the repair of neurological function.