Effect analysis on patients with early, long-term of severe brain trauma after decompressive craniectomy early cranioplasty
- VernacularTitle:重型颅脑外伤去骨瓣减压术后早期颅骨成形术对患者早期、远期效果分析
- Author:
Shulin LIU
1
Author Information
1. 河北省辛集市第一医院外二科
- Keywords:
Brain trauma;
Boneless plate decompression;
Cranioplasty
- From:
China Modern Doctor
2015;(11):39-41
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the early, long-term effect of the craniectomy severe traumatic brain injury of early postoperative cranial decompression angioplasty patients. Methods A total of 76 cases with severe traumatic brain in-jury patients were selected from December 2010 to December 2013 in our hospital for treatment, they were divided into two groups, 38 cases in the observation group, which were treated with decompressive craniectomy after 4 to 8 weeks cranioplasty, 38 cases in the control group and the patients were treated with craniectomy 4 to 6 months postoperative cranioplasty. The early efficacy and long-term efficacy, complications occur of two groups were compared. Results The neurological function four weeks after the forming of the observation group was lower than the control group, Barthel score, Fugl-Meyer score were higher than the control group, the difference was statistically significant (P<0.05). GCS score, GOS score, quality of life scores of 2 months and 12 months after angioplasty of the observation group were higher than the control group on the same period, the difference was statistically significant (P<0.05). The overall incidence of complications in the observation group was lower than the control group, the difference was statistically significant (P<0.05). Conclusion Early, long-term clinical results of severe brain injury early decompressive craniectomy after cranio-plasty are obvious, safe and effective, can be popularized in clinical application.
