Treatises
Clinical application of controlled decompression in craniotomy
Tang Hengxin, Zhu Delong, Li Wenxiang, Zhang Guozhi, Peng Qiujiao
Published 2020-08-01
Cite as IMHGN, 2020, 26(15): 2225-2229. DOI: 10.3760/cma.j.issn.1007-1245.2020.15.017
Abstract
ObjectiveTo investigate the therapeutic effect of controlled decompression in craniofacial decompression surgery.
Methods200 patients were divided into two groups by semi-random principle, the controlled decompression was performed in the treatment group and conventional craniotomy in the control group, each group was subdivided into trauma (group 1) and spontaneous intracerebral hemorrhage (group 2). All 200 patients were followed up for six months, GOS score 4 to 5 points as good prognosis and GOS score 1 to 3 points as poor prognosis.
ResultsThere was statistically significant difference in the rate of good prognosis between the treatment group 1 and the control group 1 [56.00% (28/50) vs.36.00% (18/50)] (P<0.05). There was no statistically significant difference in the rate of good prognosis between the treatment group 1 (GCS score 3 to 5 points) and the control group 1 (GCS score 3 to 5 points) [31.58% (6/19) vs.12.50% (2/16)] (P>0.05). There was no statistically significant difference in the rate of good prognosis between the treatment group 1 (GCS score 6 to 9 points) and the control group 1 (GCS score 6 to 9 points) [70.97% (22/31) vs.47.06% (16/34)] (P>0.05). There was no statistically significant difference in the rate of good prognosis between the treatment group 2 and the control group 2 [44.00% (22/50) vs.40.00% (20/50)] (P>0.05).
ConclusionThe controlled decompression could decrease intraoperative complications, disability, mortality, and improve the prognosis for patients with severe or extra-severe craniocerebral injuries, and extend the survival time of brain death, plant survival, severe disability patients. However, the clinical value of controlled decompression technique is restricted for patients with spontaneous intracerebral hemorrhage.
Key words:
Craniocerebral trauma; Controlled decompression; Surgery; Spontaneous intracerebral hemorrhage
Contributor Information
Tang Hengxin
Department of Neurosurgery, Guangzhou First People’s Hospital, Guangzhou 511457, China
Zhu Delong
Department of Neurosurgery, Guangzhou First People’s Hospital, Guangzhou 511457, China
Li Wenxiang
Department of Neurosurgery, Guangzhou First People’s Hospital, Guangzhou 511457, China
Zhang Guozhi
Department of Neurosurgery, Guangzhou First People’s Hospital, Guangzhou 511457, China
Peng Qiujiao
Department of Neurosurgery, Guangzhou First People’s Hospital, Guangzhou 511457, China
