Analysis of curative effect of standard large trauma craniotomy on severe craniocerebral trauma

Objective To observe curative effect of standard large trauma craniotomy on severe craniocerebral trauma.Methods 263 cases with severe craniocerebral trauma were analyzed retrospectively.135 cases in treatment group(included 54 cases of exceptionally severe treatment group) were treated with standard large trauma craniotomy,and 128 cases in control group(included 49 cases of exceptionally severe control group) were treated with Conventional craniectomy.After 6 months of treatments,GCS score and complication were compared.Results The effective rate in treatment group was 71.1% higher than 58.8% in control group(P0.05),and 63.0% vs 36.75 in the two exceptionally severe groups(P0.01).The incidence of reoperation was 2.22% vs 10.94% in treatment group and control group(P0.05),and the incidence of delayed hematoma and contralateral subdural effusion was 9.63% vs 1.56% in the two groups(P0.05),but the incidence of other complications was not different(P0.05).Conclusion Standard large trauma craniotomy is effective on severe craniocerebral trauma,especially on exceptionally severe ones.It can decrease the incidence of complications such as reoperation for secondary intracranial hypertension,but increase the incidence of delayed hematoma and contralateral subdural effusion.