Standard decompressive craniectomy with large bone flap resection and removal of necrotic brain tissues for malignant brain swelling after brain injury
10.3760/cma.j.issn.1008-6315.2009.05.035
- VernacularTitle:标准大骨瓣减压加坏死脑组织清除治疗外伤后恶性脑肿胀疗效观察
- Author:
Jiandong QIU
;
Hengxin YOU
;
Fumin CHAI
;
Shan MA
;
Xiaowen LIAN
- Publication Type:Journal Article
- Keywords:
Brain injury;
Brain swelling;
Standard large craniotomy decompression;
Removal of nec-rofic brain tissues
- From:
Clinical Medicine of China
2009;25(5):539-542
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the curative effects of malignant brain swelling after brain injury by using the operations of standard large Craniotomy decompression and removal of necrotic brain tissues. Methods 80 cases of malignant brain swelling after severe brain injury were observed. The standard decompression surgery of large era-niotomy routine were used in 40 cases,while the operations of standard large craniotomy decompression and removal of necrotic brain tissues were used in the other 40 cases. The curative effects of the results after 15 days and six mon-ths were analyzed. Results The incidence of intracranial hypertension (37.5%, 15/40 ) and brain tissue incisional hernia (32.5% ,13/40)of the group using standard large craniotomy decompression and removal of nee-rotic brain tissues treatment was significantly lower than that of simple standard large craniotomy decompression treat-ment group [15.0% (6/40) vs 10.0% (4/40)] after 15 days (P<0.05 ). The prognosis excellent rate ( good + re-sidual) of the group using standard large Craniotomy decompression and removal of necrotic brain tissues treatment was significantly higher (60.0%) than that of simple standard large craniotomy decompression treatment group (40.0%) after six months (P<0.05 ). Conclusion The operations of standard large craniotomy decompression and removal of necrotic brain tissues can effectively reduce the intracranial hypertension of malignant brain swelling after trauma injury,and reduce mortality and morbidity of severe brain injury.
