Comparison of the curative effect between two kinds operation approaches in the treatment of asymmetry brain bilateral frontal lobe contusion

Objective: To investigate the clinical effects of two kinds of operation approaches in the treatment of asymmetry brain bilateral frontal lobe contusion.Methods: Thirty-two patients with asymmetry brain bilateral frontal contusion were randomly divided into the observation group and control group.The control group were treated with bilateral frontal craniotomy in coronal plane,and the observation group were treated with unilateral frontotemporal craniotomy.The operation time,intraoperative transfusion volume,olfactory nerve function injury and mental disorders between two groups were compared.The prognosis of all patients were assessed using the Glasgow Outcome Scale score after 3 months of operation.Results: The operation time and intraoperative transfusion volume,and number of patients with olfactory nerve function injury and mental disorders in observation group were lower than those in control group(P<0.05 to P<0.01).No death case was found during the following-up,and the difference of Glasgow Outcome Scale score between two groups was not statistically significant(P>0.05).Conclusions: Unilateral craniotomy in the treatment of asymmetry brain bilateral frontal lobe contusion is shorter operation time,less blood loss and nerve function injury,which is worthy of application under the strict surgical indications.