颞肌部分切除术在重型颅脑损伤患者治疗中的应用

目的：探讨去标准外伤大骨瓣减压＋颞肌部分切除术在重型颅脑损伤患者治疗中的应用价值。方法：将2010年1月至2012年10月收治的重型颅脑损伤患者62例随机分成对照组和观察组各31例．观察组采用去标准外伤大骨瓣减压＋颞肌部分切除术治疗，对照组采用去标准外伤大骨瓣减压术治疗，比较两组的疗效。结果：与对照组相比，治疗组术后并发症、病死率、致残率明显下降，术后生活自理能力明显提高，P均〈0．05。结论：去外伤大骨瓣减压＋颞肌部分切除术可提高重型颅脑损伤患者的抢救成功率及治愈率。

The Application of Temporalis Partial Resection in Treatment of Patients with Severe Head Injury

Objective：To explore clinical value of standard large trauma craniotomy and temporalis partial resection in the treatment of patients with severe head injury. Method： 62 patients with severe head injury were randomly divided into control group and observation group, and each group was 31 cases from Jan 2010 to Oct 2012. Observation group was treated with standard large trauma craniotomy and temporalis partial resection, control group was treated with standard large trauma craniotomy. The clinical effect was compared between the two groups. Results： Compared with control group, postoperative complications, mortality and disability were significantly lower, and postoperative self-care ability improved in treatment group, all P 〈0.05. Conclusion： Standard large trauma craniotomy and temporalis partial resection can increase the rescue success rate and cure rate.