探讨单侧标准大骨瓣开颅联合大脑镰切开术治疗非对称性双额叶重度脑挫裂伤的疗效。

回顾性分析自2014年1月至2015年12月于云南省第一人民医院神经外科经单侧标准大骨瓣开颅联合大脑镰切开术治疗的37例非对称性双额叶重度脑挫裂伤患者的临床资料，随访6个月，采用额叶功能评定量表（FAB）评估其额叶功能损害程度，GOS评分评估其预后恢复情况。

37例患者术后6 h复查，脑挫裂伤均彻底清除，无再发血肿病例；术后6个月，GOS评分5分21例，4分9例，3分5例，1分2例，无植物生存病例。FAB平均评分为13.7分。

单侧标准大骨瓣开颅联合大脑镰切开术可用于非对称性双额叶重度脑挫裂伤的清除，且创伤小、恢复效果良好。

To discuss the efficiency of asymmetry severe bifrontal contusion treated by standard craniotomy and subfalcine incision.

Thirty-seven asymmetry severe bifrontal contusion patients treated by standard craniotomy and subfalcine incision were enrolled from January 2014 to December 2015 in Department of Neurosurgery, the First People,s Hospital of Yunnan Province for the retrospective analysis, then follow-up to six months after the operation, using the FAB scale to assess the level of frontal lobe dysfunction, and utilizing the GOS score to evaluate the recover status.

All the bifrontal contusion of the thirty-seven patients were cleared compelely, showed from the CT scan routinely 6 h after the opteration. Six months after surgery, according to the GOS classification, twenty-one patients gained five, nine patients got four, five cases received three point, and two case were one point. There is none persistent vegetable. The average FAB score of this group is 13.7.

Standard craniotomy and subfalcine incision can be used as a less traumatic method to cure the asymmetry severe bifrontal contusion, and the patients are recovered better.