Clinical effect of 58 patients with severe craniocerebral injury treated by surgery

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Objective To investigate the clinical effect of standard large bone flap decompression for severe craniocerebral injury. Methods This study was performed in 58 patients with severe traumatic brain injury, according to different surgical methods, the patients were divided into control group and study group, 29 cases in each group.The control group was treated with conventional bone flap craniotomy, and the study group was treated with large bone flap decompression surgery.The clinical effect and complications were compared between the two groups. Results After operation, the patients were followed up for 5 months.The mortality of the study group (10.34%) was significantly lower than that of the control group (27.59%), and the difference was statistically significant (χ2=3.98, P<0.05). In addition, the good rate of the study group (55.17%) was significantly higher than that of the control group (27.59%), and the difference was significant (χ2=4.55, P<0.05). The preoperative intracranial pressure had no significant difference between the two groups.While at postoperative 1d, 3d and 5d, the intracranial pressure of the study group was significantly lower than that of the control group, and the difference was statistically significant (t=3.55, 4.02, 6.12, all P<0.05). The scores of GOS and BAI in the study group were significantly higher than those in the control group (t=5.02, 4.21, P<0.05). The incidence rates of complications such as cerebrospinal fluid leakage, trauma of cerebral infarction, trauma of epilepsy, hydrocephalus, wound infection of the study group were significantly lower than those of the control group, and the differences were statistically significant (χ2=4.00, 5.02, 456, 4.22, 3.99, all P<0.05). Conclusion Compared with conventional craniotomy, open standard big bone flap decompression can significantly reduce the mortality rate, decrease intracranial pressure, and improve the quality of life of patients, it has better curative effect and prognosis for patients with severe craniocerebral injury, and is worthy of clinical application. Key words: Decompression, surgical; Craniocerebral trauma