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目的探讨改良翼点入路去骨瓣减压术颞肌代硬脑修补术在治疗重型颅脑损伤的临床意义。方法选择重型颅脑损伤261例,随机分为研究组224例,采用了改良翼点入路减压术加颞肌代硬脑膜修补术;对照组37例,采用传统的方法。将两组方法的数据进行统计学分析。结果研究组的疗效明显优于对照组,各种并发症的发生率明显少于对照组(P<0．05),有统计学意义。结论改良翼点入路去骨瓣减压术颞肌代硬脑膜扩大术应用于重型颅脑损伤患者能提高其治愈率,降低病死率,明显提高病人的生存质量,值得推广。
Objective To explore the clinical significance of modified pterional approach for the treatment of severe craniocerebral injury with decompressive craniectomy. Methods 261 cases of severe craniocerebral injury were selected and randomly divided into study group (224 cases). The modified pterional approach was used to decompress the temporalis and dural mesenteric repair. In the control group, 37 cases were treated by traditional method. The data of two groups of methods were statistically analyzed. Results The study group was significantly better than the control group, the incidence of various complications was significantly less than the control group (P <0.05), with statistical significance. Conclusion The modified pterional approach decompressive craniectomy for the development of dural dilatation in patients with severe craniocerebral injury can improve its cure rate, reduce mortality and significantly improve the quality of life of patients, it is worth promoting.