Clinical research of applying bilateral decompressive craniectomy for severe craniocerebral injury
Guocheng Li
Abstract
Guocheng Li
Abstract
Objective To investigate the therapeutic effect and prognosis of applying bilateral decompressive craniectomy for severe craniocerebral injury. Methods Sixty patients with severe craniocerebral injury treated in our hospital were selected and randomly assigned into two groups, 30 cases in each group. The 30 patients in control group were treated by standard unilateral decompressive craniectomy, while the patients in treatment group were given bilateral decompressive craniectomy. The therapeutic effect and prognosis of both groups were compared. Results The therapeutic effect of treatment group (93.3%) was better than that of control group (76.6%). As to the comparison of GCS score of both groups before and after treatment, the improvement of treatment group before treatment (3.67±0.54) scores, after treatment (8.86±0.64) scores was superior to that of control group before treatment (3.85±0.43) scores, after treatment (6.13±0.72) scores with statistical difference (P 0.05). Conclusion For severe craniocerebral injury, bilateral decompressive craniectomy has better effect and worth widely applying in hospitals with corresponding condition.
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Objective To investigate the therapeutic effect and prognosis of applying bilateral decompressive craniectomy for severe craniocerebral injury. Methods Sixty patients with severe craniocerebral injury treated in our hospital were selected and randomly assigned into two groups, 30 cases in each group. The 30 patients in control group were treated by standard unilateral decompressive craniectomy, while the patients in treatment group were given bilateral decompressive craniectomy. The therapeutic effect and prognosis of both groups were compared. Results The therapeutic effect of treatment group (93.3%) was better than that of control group (76.6%). As to the comparison of GCS score of both groups before and after treatment, the improvement of treatment group before treatment (3.67±0.54) scores, after treatment (8.86±0.64) scores was superior to that of control group before treatment (3.85±0.43) scores, after treatment (6.13±0.72) scores with statistical difference (P 0.05). Conclusion For severe craniocerebral injury, bilateral decompressive craniectomy has better effect and worth widely applying in hospitals with corresponding condition.
Key concepts: Medicine, Decompressive craniectomy, Therapeutic effect, Surgery, Traumatic brain injury, Craniocerebral trauma, Treatment and control groups, Anesthesia