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目的探讨去骨瓣减压术治疗儿童重型颅脑外伤的预后效果。方法 20例重型颅脑外伤儿童作为研究对象,随机分为观察组和对照组,各10例。对照组采用常规开颅手术单纯清除血肿治疗,观察组采用清除血肿+去骨瓣减压术进行治疗,比较两组患儿的临床疗效。结果观察组恢复良好患儿比例为60.00%高于对照组的10.00%,差异有统计学意义(P<0.05)。观察组患儿并发症发生率为10.00%,低于对照组患儿的60.00%,差异有统计学意义(P<0.05)。结论去骨瓣减压术治疗儿童重型颅脑外伤具有良好的临床疗效,安全性高,患儿预后良好,并发症发生率低,值得在临床推广应用。
Objective To investigate the prognostic effect of decompressive craniectomy on severe traumatic brain injury in children. Methods Twenty children with severe traumatic brain injury were randomly divided into observation group and control group, with 10 cases in each group. The control group was treated with routine craniotomy for hematoma removal. The observation group was treated with hematoma removal + debridement and decompression. The clinical effects of the two groups were compared. Results The percentage of children with good recovery in the observation group was 60.00%, which was significantly higher than that in the control group (10.00%) (P <0.05). The complication rate in observation group was 10.00%, which was lower than that in control group (60.00%), the difference was statistically significant (P <0.05). Conclusion Cured decompressive craniectomy in children with severe traumatic brain injury has a good clinical efficacy, safety, good prognosis in children, the incidence of complications is low, it is worth in the clinical application.