The effect of large trauma craniotomy with bilateral frontal coronal incision on the efficacy and prognosis of patients with contusion and laceration of bilateral frontal lobes
10.3760/cma.j.issn.1673-4904.2012.20.008
- VernacularTitle:双额冠状切口大骨瓣开颅术治疗双额叶脑挫裂伤的疗效及对预后的影响
- Author:
Hongfei LIU
;
Hu SUN
- Publication Type:Journal Article
- Keywords:
Frontal lobe;
Brain injuries;
Coronal incision;
Large trauma craniotomy
- From:
Chinese Journal of Postgraduates of Medicine
2012;35(20):21-23
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo explore the efficacy of large trauma craniotomy with bilateral frontal coronal incision in treating contusion and laceration of bilateral frontal lobes.MethodsThe clinical data of 68 patients with contusion and laceration of bilateral frontal lobes who were treated with bilateral decompressive craniectomy were analyzed retrospectively.There were 36 cases(observation group) treated with large trauma craniotomy with bilateral frontal coronal incision and 32 cases (control group) given bilateral decompressive craniectomy by stages.The prognosis of two groups were observed and compared.The prognosis was evaluated at 6 months after surgery by Glasgow outcome scale (GOS) score.ResultsThere were 23 cases (63.89％,23/36) who got good recovery,8 cases(22.22％,8/36) with poor prognosis and 5 dead cases (13.89％,5/36) in observation group.There were 11 cases (34.38％,11/32) who got good recovery,9 cases (28.12％,9/32) with poor prognosis and 12 dead cases (37.50％,12/32) in control group.The rate of good recovery and mortality between two groups had significant differences (P ＜ 0.05).ConclusionsThe large trauma craniotomy with bilateral frontal coronal incision can significantly relieve or ease intracranial hypertension of patients with contusion and laceration of bilateral frontal lobes.And it can improve the prognosis and decrease the mortality.
