目的探讨治疗重型颅脑外伤的手术治疗方法,观察大骨瓣减压术治疗重型颅脑外伤临床疗效和安全性。方法 92例重型颅脑外伤患者随机分为治疗组和对照组各46例。治疗组行标准创伤大骨瓣压术治疗,对照组采用常规术式治疗,通过观察2组并发症及预后比较临床效果。结果治疗组急性脑膨出、术后迟发血肿、颅内感染、长期昏迷等并发症以及病亡人数都低于对照组。恢复良好者治疗组明显多于对照组。结论早期彻底的大骨瓣减压术可以明显降低并发症、伤残率及病死率,能改善预后、提高疗效,安全性较好。 Objective To investigate the surgical treatment of severe craniocerebral trauma and to observe the clinical efficacy and safety of the treatment of severe craniocerebral trauma with decompressive craniectomy. Methods 92 patients with severe traumatic brain injury were randomly divided into treatment group and control group, 46 cases each. The treatment group was treated with standard trauma and large bone flap compression. The control group was treated by routine operation, and the complication and prognosis of the two groups were compared. Results The incidence of acute encephalocele, postoperative delayed hematoma, intracranial infection, long-term coma and other complications in the treatment group were lower than those in the control group. The recovery of the treatment group was significantly more than the control group. Conclusion Early complete decompression of the big bones can significantly reduce the complications, disability and mortality, can improve the prognosis and improve efficacy, safety is better.