Full-Text Search:
Home|Journal Papers|About CNKI|User Service|FAQ|Contact Us|中文
《Neural Injury and Functional Reconstruction》 2014-06
Add to Favorite Get Latest Update

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
Download(CAJ format) Download(PDF format)
CAJViewer7.0 supports all the CNKI file formats; AdobeReader only supports the PDF format.
Chinese Journal Full-text Database 2 Hits
1 Su Zulu;Department of Neurosurgery,Affiliated Yongchuan Hospital,Chongqing Medical University;;Value of standard large decompressive craniotomy in treating lateral fissure area damage of severe traumatic brain injury[J];Chongqing Medicine;2013-25
2 JIANG Ji-yao LI Wei-ping XU Wei, et al. Department of Neurosurgery Renji Hospital Shanghai Second Medical University Shanghai 200001, China;Efficacy of standard large trauma craniectomy for severe traumatic brain injured patients with tentorial herniation: a multicenter prospective randomized controlled study[J];Chinese Journal of Neurosurgery;2004-01
Chinese Journal Full-text Database 10 Hits
1 People's hospital of chizhou ,AnHui 247100MA Li,JIANG Ji-rao,LU Yi-cheng,ZHANG Guang-qi;Surgical management of acute extradural hematomawith severe craniocerebral Trauma[J];Journal of Anhui Health Vocational & Technical College;2003-02
2 Department of Neurosurgery,The Second people,s Hospital of Chizhou,Chizhou 247000,Anhui WANG Zun-hai;Analysis of cause of postoperative death in patients with severe craniocerebral injury[J];Journal of Anhui Health Vocational & Technical College;2009-01
3 Li Jun, Hu Guqing, Zhao Fei, et al Department of Neurosurgery, the First People Hospital of Hefei, Hefei 230061;Modified standard large trauma craniotomy for treating severe traumatic head injury accompanied by herniation of brain[J];Anhui Medical Journal;2005-02
4 Yu Yansheng, Zuo Zhiqiang, Shu Mancang, et al The Second People's Hospital of Chizhou City,Anhui 247000;Clinical analysis of the second brain insult in Severe craniocerebral injury that treated by standard trauma craniectomy[J];Anhui Medical Journal;2005-06
5 Shi Zhengsheng, Li Zhihong, Mao Yicheng, et alDepartment of Neurosurgery, the An qing Municipal Hospital, Anqing, 246003;The treatment experience of 66 cases severe acute subdural hemorrhage[J];Anhui Medical Journal;2007-02
6 Deng YiDepartment of Neurosurgery, The Hospital of Tengcheng in Anhui Province, Tengcheng 231400;A clinical analysis of the delayed hematoma due to frontopolar vein damage after acute intracranial traumatic intracranial hematoma by operation[J];Anhui Medical Journal;2007-03
7 Zeng Debing,Wang Xiaolong Shouxian Hospital of TCM,Shouxian 232200;Clinic analysis of standard large craniectomy for the treatment of 24 cases of severe brain injury[J];Anhui Medical Journal;2009-12
8 Zhang Chaoyong,Fan Huihui,Ba Yongfeng,et al Department of Neurosurgery,the Hospital of Taihe,Taihe 246702,China;The clinical analysis of 22 cases of operations treating acute subdural hematoma with brain contusion and laceration[J];Anhui Medical Journal;2010-12
9 Han Fei,Du Xiangyang,Chen Liang,et al Traditional Chinese Medicine of Lu'an City,Lu'an 237006,China;The standard large trauma craniectomy treats of the severe traumatic brain injured patients application[J];Anhui Medical Journal;2011-04
10 SHI Zhengsheng,CHEN Xinsheng,LI Zhihong,et al.Department of Neurosurgery,the An qing Municipal Hospital,Anqing,246003,China.;The therapeutic strategy of severe acute subdural hemorrhage[J];Anqing Medical Journal;2008-01
【Secondary Citations】
Chinese Journal Full-text Database 9 Hits
1 Liu Hongsheng1,Xie Yanfeng2(1.Department of Surgery,Wulong People's Hospital of Chongqing,Chongqing 408500,China;2.Department of Neurosurgery,First Affiliated Hospital,Chongqing Medical University,Chongqing 400016,China);Clinical experience of standard large trauma craniotomy for 47 cases of severe craniocerebral trauma[J];Chongqing Medicine;2011-18
2 Zhang Xianbai,Yuan Zhifu,Dong Ming.The People's Hospital of Wuning County,Wuning 332300,China;Analysis of hypertensive intracerebral hemorrhage treated by small window craniotomy and routine craniotomy[J];Chinese Journal of Practical Nervous Diseases;2010-04
3 CHEN Huawen, ZHU Wei, LI Shusheng,ZHENG Zhi.Intensive Care Unit, Tongji Hospital Affiliated to Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China;Risk factors of severe craniocerebral injury[J];Chinese Journal of Emergency Medicine;2006-03
4 ZHANG Jian.Neurological Surgery,Cangnan People's Hospital,Cangnan 325800,China;Effectiveness of Standard Large Trauma Craniotomy for Hematoma Removal in Treating Unilateral Brain Swelling following Sylvian Fissure Damage of Severe Brain Injury[J];Chinese General Practice;2010-32
5 YANG Li-yuan,SUN Xiao-chuan.Department of Neurosurgery,the First Affiliated Hospital,Chongqing Medical University,Chongqing 400016,China;Research on the Effect and Prognosis of Three Different Operation Methods for Hypertensive Intracerebral Hemorrhage[J];Chinese General Practice;2012-09
6 TANG Xie-lin,LI Chun-rong,XIA Xiang-guo.Department of Neurosurgery,Luzhou Medical College Affiliated Hospital,Luzhou 646000,China;Treatment Strategy of Hypertensive Intracerebral Hemorrhage[J];Medicine & Philosophy(Clinical Decision Making Forum Edition);2009-01
7 YANG Xue-jun,HONG Guo-liang,SU Shao-bo,et al.Department of Neurosurgery,General Hospital,Tianjin Medical University,Tianjin300052,China;Clinical Analysis of Complications after Decompression Craniectomy in Patients with Brain Injury[J];Chinese Journal of Clinical Neurosurgery;2003-02
8 Gu Guoshan, Xu Qiwu, Mao Ying, et al Department of Neurosurgery, Hua Shan Hospital, Shanghai Medical University 12 Wulumuqi Zhong Road, Shanghai (200040);A new method of cranial defects repairment-traction and reposition of autogenous bone flap.[J];Chinese Journal of Nervous and Mental Diseases;1997-03
9 YANG Qiurong,SUN Zhihong,LIU Dongliang,LUO Wei,TANG Li (Department of Neurosurgery,the Affiliated Xiangdong Hospital of Hunan Normal University,Liling,Hunan 412200,P.R.China);Clinical analysis on small bone window craniotomy in treatment of hypertensive cerebral hemorrhage in 66 cases[J];China Journal of Modern Medicine;2009-12
©2006 Tsinghua Tongfang Knowledge Network Technology Co., Ltd.(Beijing)(TTKN) All rights reserved