不同手术入路治疗双侧额叶脑挫裂伤伴颅内血肿疗效观察

The Effect of Different Surgical Approaches in the Treatment of Bilateral Frontal Lobe Contusion and Laceration With Intracranial Hematoma

目的观察两种手术入路治疗双侧额叶脑挫裂伤伴颅内血肿的临床效果。方法选取我院双侧额叶脑挫裂伤伴颅内血肿患者64例,随机分为治疗组和观察组,各32例。治疗组采取单侧开颅术,观察组采取双侧开颅术。比较两组手术过程中的输血量、手术操作时间和总有效率。结果观察组的术中输血量和手术操作时间高于治疗组,差异具有统计学意义(P<0.05);观察组的总有效率为59.32%,低于治疗组的总有效率84.35%,差异具有统计学意义(P<0.05)。结论单侧开颅术在治疗双侧额叶脑挫裂伤伴颅内血肿中,临床效果优于双侧开颅术,安全性更高。

Objective To observe the clinical effect of treating the bilateral frontal lobe brain contusion with intracranial hematoma from two surgical approaches. Methods Selected 64 patients who were suffer from the bilateral frontal lobe brain contusion with intracranial hematomaour in our hospital, randomly divided treatment group and reference group, 32 cases in each group.The treatment group took the unilateral craniotomy, but the reference group took the bilateral craniotomy. Then we can compared the amount of blood transfusion, operation time and total efficiency. Results The blood transfusion, operation time of reference group were higher than that of the treatment group, and the difference had statistically significant（P0.05）. The total efficiency of the reference group which was 59.32% was lower than that the treatment group which was 84.35%, the difference had statistical significance（P0.05）. Conclusion The clinical effect and safety of unilateral craniotomy are higher than the bilateral craniotomy in the treatment of bilateral frontal lobe contusion and laceration of brain with intracranial hematoma.