Comparison of standard large trauma craniotomy with routine craniotormy in treatment of acute subdural hematoma.
- Author:
Qiang HUANG
1
;
Wei-min DAI
;
Tai-hua WU
;
Yuan-qing JIE
;
Guo-feng YU
;
Xiao-feng FAN
Author Information
- Publication Type:Journal Article
- MeSH: Acute Disease; Adolescent; Adult; Aged; Aged, 80 and over; Chi-Square Distribution; Craniotomy; standards; Female; Follow-Up Studies; Hematoma, Subdural; mortality; surgery; Humans; Intracranial Pressure; Male; Middle Aged; Quality of Life; Treatment Outcome
- From: Chinese Journal of Traumatology 2003;6(5):305-308
- CountryChina
- Language:English
-
Abstract:
OBJECTIVETo compare the therapeutic effect and indication between standard large trauma craniotomy and routine craniotomy.
METHODSThere were 97 patients in the standard large trauma craniotomy group and 110 patients in the routine craniotomy group. The mortality, postoperative ICP (intracranial pressure), ratio of pupil rebound, complication and results of six month follow-up after operation were compared between the two groups.
RESULTSFifteen patients (15.6%) died in the standard large trauma craniotomy group and 30 (27.7%) in the routine craniotomy group. The postoperative mean ICP was 3.75 kPa+/-1.89 kPa in the standard large trauma craniotomy group and 5.11 kPa+/-1.57 kPa in the routine craniotomy group. The pupil rebound was found in 47 patients (61.0%) in the standard large trauma craniotomy group and in 41 patients (46.1%) in the routine craniotomy group (P<0.01). The rate of complication was lower in the standard large trauma craniotomy group, but no obvious difference in long-term therapeutic effect was found between the two groups.
CONCLUSIONSStandard large trauma craniotomy can attenuate brain hernia and the mortality of the patients with acute subdural hematoma. The incidence of complication can also be decreased. But the long term life quality of the patients can not be improved.
