Résumé
Objective To explore the standard large decompressive craniotomy in treatment severe traumatic brain injury lateral fissure area damage to the clinical curative effect and application value .Methods 56 patients with severe craniocerebral trauma lat-eral fissure area injury in our hospital from February 2010 to December 2012 were randomly divided into the standard group and the conventional group ,28 cases in each group ,and treated by the standard large decompressive craniotomy and routine big bone flap craniotomy hematoma removal respectively .The various index of clinical effect and prognosis were observed and compared between the two groups .Results The Glasgow coma score(GCS) on postoperative 3 ,7 d in the standard group were obviously higher than those in the conventional group ,but the intracranial pressure (ICP) ,midline shift and cerebral edema volume were significantly low-er than those in the the conventional group ,the differences had statistical significance (P< 0 .05) ,after 1 -year follow -up ,the GOS score and the survival rate in the standar group were significantly higher than those in the conventional group (P<0 .05) . Conclusion The effect of the standard large decompressive craniotomy for treating severe craniocerebral trauma lateral fissure area damage is superior to the conventional big bone flap craniotomy hematoma removal ,can effectively remove the hematoma ,reduce the intracranial pressure ,save the patient′s life and improve the quality of life ,which is worthy of clinical attention and promotion .