Issues related to surgical procedures of controlled decompression in the treatment of severe traumatic brain injury

VernacularTitle:控制减压术治疗重型创伤性脑损伤手术操作的相关问题
Author: Likun YANG ¹ ; Tao CHEN ; Yuhai WANG
Author Information

1. 安徽医科大学无锡临床学院，解放军联勤保障部队第九〇四医院神经外科，无锡　214000
Keywords: Brain injuries; Decompression, surgical; Intracranial pressure; Controlled decompression
From: Chinese Journal of Trauma 2024;40(2):107-110
CountryChina
Language:Chinese
Abstract: Severe traumatic brain injury (sTBI) has a high mortality and disability rate, making it a difficult issue and hot topic in neurosurgery. Controlled decompression is an important technique in the treatment of sTBI combined with intracranial hypertension, which can reduce the ischemia-reperfusion injury to the nervous tissue and intracranial vessel and can significantly lower the incidence of complications related to decompressive craniectomy. However, the effects of the controlled decompression technique have been affected by different understandings of the technique and nonstandard surgical procedures in clinical practice. For this purpose, the authors discussed the concept of controlled decompression technique, its indications and the key problems during operation so as to standardize the surgical procedures and improve the therapeutic effects of controlled decompression technique in the treatment of sTBI.