Effect of modified large craniectomy decompression on advanced brain function in patients with severe craniocerebral injury

Abstract

Objective To investigate the effect of modified large craniectomy decompression on advanced brain function in patients with severe craniocerebral injury. Methods 84 cases of severe craniocerebral injury were selected as the study object and randomly divided into group A and group B, 42 cases in each group. The two groups were respectively treated with modified large craniectomy decompression and standard trauma large craniotomy decompression. The difference in Glasgow outcome score (GOS) grading between two groups after surgery was compared. The scores of balance function rating scale (Fugl-Meyer) and Loewenstein Occupational Therapy Cognitive Assessment (LOTCA) were recorded before and after treatment. The difference in the incidence of postoperative complications was analyzed. Results ①The ineffective rate in group A was significantly lower than that in group B (19.0% vs.45.2%; χ2=6.604, P=0.010). ②After treatment, the scores of Fugl-Meyer and LOTCA in two groups were significantly higher than those before treatment, and the scores in group A were better than those in group B (P<0.05). ③The incidence of postoperative complications in group A was significantly lower than that in group B (20.5% vs.47.2%; χ2=6.010, P=0.014). Conclusion Modified large craniectomy decompression can effectively improve advanced brain function in patients with severe craniocerebral injury, with a low incidence of complications and good prognosis. Key words: Modified large craniectomy decompression; Severe craniocerebral injury; Advanced brain function