Comparative Study of Conventional Treatment of Standard Decompressive Craniectomy and Decompression Craniectomy Severe Traumatic Brain Injury
Qin Ye
Abstract
Qin Ye
Abstract
Objective To comparative study of conventional treatment of standard decompressive craniectomy and decompression craniectomy severe traumatic brain injury.Methods 64 cases of severe head trauma patients were randomly divided into two groups,the control group of 32 patients using conventional decompressive craniectomy,the observation group treated with standard decompressive craniectomy,two groups were compared intracranial pressure changes and after 6 months of follow-up prognosis and the complications 1,3,7d after.Results The observation group intracranial pressure with time intracranial pressure level were lower than the control group(P0.05),16 patients of the observation group were good prognosis after treatment,the control group only 7 cases,good prognosis of the observation group were significantly higher than the control group(P0.05),control group had hydrocephalus and delayed postoperative hematoma rates were higher than the control group(P0.05).Conclusion Standard decompressive craniectomy for severe traumatic brain injury can better reduce intracranial pressure and has relatively good curative effect,fewer complications,so it is a surgical treatment to be promoted.
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Objective To comparative study of conventional treatment of standard decompressive craniectomy and decompression craniectomy severe traumatic brain injury.Methods 64 cases of severe head trauma patients were randomly divided into two groups,the control group of 32 patients using conventional decompressive craniectomy,the observation group treated with standard decompressive craniectomy,two groups were compared intracranial pressure changes and after 6 months of follow-up prognosis and the complications 1,3,7d after.Results The observation group intracranial pressure with time intracranial pressure level were lower than the control group(P0.05),16 patients of the observation group were good prognosis after treatment,the control group only 7 cases,good prognosis of the observation group were significantly higher than the control group(P0.05),control group had hydrocephalus and delayed postoperative hematoma rates were higher than the control group(P0.05).Conclusion Standard decompressive craniectomy for severe traumatic brain injury can better reduce intracranial pressure and has relatively good curative effect,fewer complications,so it is a surgical treatment to be promoted.
Key concepts: Medicine, Decompressive craniectomy, Intracranial pressure, Traumatic brain injury, Surgery, Decompression, Intracranial hematoma, Anesthesia