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《Neural Injury and Functional Reconstruction》 2014-06
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Clinical Effect of Standard Large Trauma Craniotomy and Decompression Treatment on Severe Craniocerebral Injury Patients

WANG shou-jie;GAO Guo-dong;QIN Huai-zhou;Department of Neurosurgery, Tangdu Hospital of the Fourth Military Medical University;  
Objective: To observe the effects of standard large trauma craniotomy and traditional craniotomy on severe traumatic brain injury(STBI). Methods: One hundred and twenty STBI patients(standard operation group)received standard large trauma craniotomy, and 94 STBI patients(control group) were treated with traditional craniotomy, with follow-up for 6 months. The Glasgow Outcome Scale(GOS), prognosis and postoperative complications were evaluated. Results: After 6 months, in the control group, 13 patients had good recovery, 15 patients were moderate disability, 37 patients showed severe disability, 17 patients were vegetative state and 12 patients were dead. In total, 28 cases had good prognosis(29.79%). In the standard operation group, 31 patients showed good recovery, 24 patients were moderate disability, 42 patients presented severe disability, 15 patients showed vegetative state and 8 patients were dead. In total, 55 cases were found to be good prognosis(45.83%). There was statistical differences between the 2 groups in the better prognosis(x2=5.72, P=0.02). The incidence rates of acute encephalocele, cerebral-spinal fluid leak and intracranial hematoma in the standard operation group were lower than those in the control group(P0.05). Conclusion: The therapeutic efficacy of standard large trauma craniotomy on STBI patients is superior to the effects of traditional craniotomy.
【CateGory Index】: R651.15
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