重型额颞叶脑挫裂伤是神经外科的危急重症之一,可导致急性脑水肿、恶性颅内高压,进而易发生脑疝危及患者生命,临床上常采用去骨瓣减压手术。2005年8月至2009年7月我院采用标准外伤大骨瓣联合颞肌筋膜减张修补硬脑膜术治疗重型额颞叶脑挫裂伤60例,取得了明显效果,现总结如下。1 Heavy frontotemporal cerebral contusion and laceration is one of the critical severe neurosurgery, can lead to acute cerebral edema, malignant intracranial hypertension, and then prone to hernia patients endanger the lives of patients, often used in clinical decompression surgery. From August 2005 to July 2009, 60 cases of severe frontotemporal lobar cerebral contusion and laceration were treated with standard traumatic big bone flap combined with temporal myofascial decompression to repair dura mater in our hospital from August 2005 to July 2009, and the results were as follows. 1