A comparison analysis of the effects of standard decompressive craniectomy vs combined cisternostomy on severe traumatic brain injury
10.3969/j.issn.1002-0152.2017.07.005
- VernacularTitle:标准去骨瓣减压术联合脑脊液循环重建治疗重型颅脑损伤的疗效比较
- Author:
Peng XU
;
Shengyong LAN
;
Youming LIANG
;
Rui HUANG
;
Haijun CHEN
;
Shaozheng LIU
- Keywords:
Severe traumatic brain injury Standard decompressive craniectomy Cerebrospinal fluid circulation;
Prognosis
- From:
Chinese Journal of Nervous and Mental Diseases
2017;43(7):406-409
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the effects of standard decompressive craniectomy (DC) vs.combined cisternostomy on severe traumatic brain injury (STBI).Methods Seventy-two patients with severe brain injury were divided into standard decompressive craniectomy group (control group,n=34) and DC combined cisternostomy group (treatment group,n=38).The clinical parameters from pre-and post-surgery were compared between the two groups.Results There was no statistical difference in clinical data including gander,age,injury causes,GSC score,Helsinki CT score and operative opportunity between two groups before surgery (P＞0.05).The treatment group was inferior in the duration of decompression (2.8±0.4 h vs.2.5±0.3 h,P＜0.05) relative to control treatment group.However,treatment group were superior to control group in the mean time of admission in neuro-intensive care unit (5.54±3.09 d vs.7.24±2.74 d,P＜0.01),the cumulative time of intracranial pressure (ICP) more than 20 nmHg within seven days after surgery(23.2±4.4 h vs.56.8±8.3 h,P＜0.01),Helsinki CT scores at postoperative day (3(2,5) vs.5(2,9),P＜ 0.01)and Glasgow Outcome Scores (GOS) at 3 month after surgery (P＜0.01).Conclusion DC combined with cisternostomy for STBI is significantly better than standard decompressive craniectomy,which is worth further study by multicenter clinical trials.
