Analysis of the curative effect of a new decompressive craniectomy on the treatment of severe craniocerebral injury.
Qianlei Liang, Xin Chen, Dehua Liu, Yueting Gao, Yongchuan Guo
Abstract
Qianlei Liang, Xin Chen, Dehua Liu, Yueting Gao, Yongchuan Guo
Abstract
Objective: To compare the curative effects of a new decompressive craniectomy and the standard decompressive craniectomy on the treatment of severe and extra severe craniocerebral injury combined with cerebral contusion, encephaledema and malignant high cranial pressure. Methods: 56 patients with severe and extra severe craniocerebral injury were admitted in our hospital from December, 2012 to March, 2016. The patients were randomly divided into a test group (26 cases) and a control group (30 cases). The test group received the new decompressive craniectomy and the control group received the standard decompressive craniectomy. A comparative analysis was made concerning the clinical prognosis and curative effects of the two groups. Results: The rate of favorable prognosis of the test group (69.2%?18/26) is significantly higher than the control group (23.3%?7/30); the mortality rate of the test group (19.2%?5/26) is significant lower than the control group (43.3%, 13/30). Conclusion: The curative effect of the new decompressive craniectomy is significantly better than the standard decompressive craniectomy in the treatment of severe and extra severe craniocerebral injury.
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Objective: To compare the curative effects of a new decompressive craniectomy and the standard decompressive craniectomy on the treatment of severe and extra severe craniocerebral injury combined with cerebral contusion, encephaledema and malignant high cranial pressure. Methods: 56 patients with severe and extra severe craniocerebral injury were admitted in our hospital from December, 2012 to March, 2016. The patients were randomly divided into a test group (26 cases) and a control group (30 cases). The test group received the new decompressive craniectomy and the control group received the standard decompressive craniectomy. A comparative analysis was made concerning the clinical prognosis and curative effects of the two groups. Results: The rate of favorable prognosis of the test group (69.2%?18/26) is significantly higher than the control group (23.3%?7/30); the mortality rate of the test group (19.2%?5/26) is significant lower than the control group (43.3%, 13/30). Conclusion: The curative effect of the new decompressive craniectomy is significantly better than the standard decompressive craniectomy in the treatment of severe and extra severe craniocerebral injury.
Key concepts: Decompressive craniectomy, Medicine, Surgery, Traumatic brain injury, Intracranial pressure, Anesthesia, Psychiatry