Application of standard large trauma craniotomy in treating severe craniocerebral injury in 37 cases

【Objective】To explore the techniques and clinical curative effect of standard large trauma craniotomy in the treatment of severe craniocerebral injury. 【Methods】77 patients with severe craniocerebral injury, who were hospitalized in our hospital from January 2003 to December 2008, were randomly divided into 2 groups: standard large trauma craniotomy was performed in experiment group (n =37) and routine temporoparietal craniectomy was performed in control group (n =40). The condition of postoperative recovery were observed and recorded and follow up was performed. Subsequently, a comparison was performed on the incidence of complications and prognosis.【Results】The total incidence of complications in experiment group and control group were 48.65%, 72.50%, respectively. There was statistically significant difference between them (χ2=4.60, P 0.05). Postoperative follow up of 6 ～24 months was performed. According to Glasgow outcome scale (GOS), survival rate and good and perfect rate were compared with statistically significant difference (χ2=4.39, P 0.05; χ2=4.65, P 0.05). 【Conclusion】 Standard large trauma craniotomy can be applied in the treatment of severe craniocerebral injury with advantages such as sufficient exposure, thorough decompression and significantly improved prognosis.