Clinical analysis of modified standard traumatic craniectomy in the treatment of severe craniocerebral trauma
10.3760/cma.j.issn.1008-6706.2019.10.007
- VernacularTitle: 改良大骨瓣开颅术在重型颅脑外伤救治中的效果分析
- Author:
Zhonghua XU
1
;
Yanshen TANG
1
;
Lanchun NI
2
Author Information
1. Department of Neurosurgery, Rugao Bo′ai Hospital, Rugao, Jiangsu 226500, China
2. Department of Neurosurgery, the Affiliated Hospital of Nantong University, Nantong, Jiangsu 226000, China
- Publication Type:Journal Article
- Keywords:
Craniocerebral trauma;
Neurosurgical procedures;
Intracranial pressure;
Activities of daily living;
Hematoma, subdural
- From:
Chinese Journal of Primary Medicine and Pharmacy
2019;26(10):1178-1181
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the clinical effect of modified standard traumatic craniectomy and standard large trauma craniectomy in the treatment of severe craniocerebral trauma.And to evaluate the clinical value of modified standard traumatic craniectomy in the treatment of severe craniocerebral trauma.
Methods:Ninety-two patients with severe craniocerebral trauma treated in Rugao Bo′ai Hospital (GCS3-8, acute subdural hematoma) from January 2015 to January 2017 were divided into two groups using random envelope drawing method, with 46 cases in each group.The control group was treated by standard large trauma craniectomy, and the observation group was treated by modified standard traumatic craniectomy.The intracranial pressure levels and activity of daily living scale (ADL) were compared between the two groups.
Results:At 1 d, 5 d, 10 d after operation, the intracranial pressure levels of the observation group were (23.19±2.82)mmHg, (15.26±2.77)mmHg and (11.22±2.75)mmHg, respectively, which were lower than those of the control group[(28.12±2.32)mmHg, (19.14±2.17)mmHg and (14.23±2.17)mmHg](t=47.544, 37.922, 29.504, all P<0.05). At 6 months after operation, according to ADL, the good rate of postoperative recovery in the observation group (67.39%, 31/46) was significantly higher than the control group (45.65%, 21/46), the difference was statistically significant(χ2=4.423, P<0.05).
Conclusion:The modified standard traumatic craniectomy has a certain value in the treatment of patients with severe craniocerebral trauma.
