A comparative study of the effcacy of standard large hemicraniectomy with conventional decompressive craniectomy in treatment of severe traumatic brain injury

Objective To compare the standard large craniectomy and conventional decompressive craniectomy in treatment of severe traumatic brain injury outcome.Methods The study included 56 cases surgical treatment severe head injury patients,according to a random number table they were randomly divided into the standard group and the conventional group two,n = 28 cases.Conventional group with routine decompressive craniectomy in the observation group using standard large hemicraniectomy.Application of the χ2 test,t test and ANOVA analysis comparing two groups of prognosis,complications,CCS score,at different time points after intracranial pressure monitoring,postoperative follow-up ADL classification and so on.Results The standard postoperative mortality is low,the prognosis is good,after the GCS score was significantly lower than the control group,and the intracranial pressure was significantly lower than the control group,standard postoperative complications was significantly lower than the control group were followed up for 12 months,the standard group survival in patients with ADL grade class I was significantly higher than the percentage,the difference was statistically significant(P 0.05).Conclusion Compared with conventional decompressive craniectomy compared to standard large decompressive craniectomy in treatment of severe traumatic brain injury prognosis is good,fewer complications,significantly lower intracranial pressure,the patient survival rate is high,should be widely promoted and applied.