Analysis of 256 cases of severe traumatic brain injury decompressive craniectomy case review

Objective Retrospective analysis of 256 cases of severe traumatic brain injury decompressive craniectomy (DC) were long-term clinical curative effect. Methods A single center retrospective cohort study included from July 2012 to December 2016 in our hospital 256 cases with severe craniocerebral trauma underwent DC in patients with severe (GCS score 6-8) in 166 cases, severe (GCS score 3-5) 90 cases, using standard big bone flap craniotomy decompression open. The window area is about 12 cm×15 cm. After 18 months of follow-up, the prognosis is divided into good recovery, moderate disability, severe disability, vegetative state and death; among them, good recovery, moderate disability for good prognosis, severe disability and poor prognosis for vegetative state. Results One hundred and four cases (40.61%) had basic self-care, but the standard evaluation behavior, psychological performance and mental health burden were not included in the clinical evaluation. Forty-eight cases of mild and moderate disability, 44 cases of severe disability, 20 cases of vegetative state, 40 cases of death, a total of 152 patients with poor prognosis (59.37%), 59.37% of the patients can be found to have poor prognosis. Conclusion DC is effective for treating severe traumatic brain injury as it could provide complete decompression. The occurrence of severe traumatic brain injury, severe patients with poor clinical prognosis, such as death, plant survival and function damage, the medical profession need to explore new therapeutic strategies. Key words: Traumatic brain injury; Decompressive craniectomy; Prognosis