A comparison of standard large craniectomy with routine craniectomy in treatment of 65 patients with severe traumatic brain injury

Objective To compare the outcomes of standard large craniectomy with routin craniectomy in 65 patients with severe traumatic brain injury. Methods 65 patients were randomly divided into standard large craniectomy group(41 cases) and routine craniectomy group (24 cases), and the effect was compared between the two groups. Results The outcome showed 17 cases of good recovery,6 cases of moderate disability,5 cases of severe disability,2 cases of persistent vegetative status,l1 cases of death in the standard group and 5 eases of good recovery,3cases of moderate disability,4 cases of severe disability, 1 of persistent vegetative status, 12 cases of death in route group. Conclusion The standard flesh wound big bone petal reduced pressure technique could enable the brain organization to obtain the full reduced pressure, effectively protect the brain function, after the distinct improvement heavy eranioeerebral damages, reduce the case fatality rate. But, this method also had certain shortcoming, must therefore grasp the surgery to refer to drafts. Key words: Craniocerebral trauma;  Surgery;  Craniotomy