Clinical Value of Dura Reticulate Plasty in Prevention of Complications Induced by Decompressive Craniectomy
WANG Hao
HU Shen
WEI Qiang-guo
LUO jie
SONG Wei-jian
Abstract：Objective To evaluate clinical values of dura reticulate plasty in prevention of complications induced by decompressive craniectomy. Methods Surgical methods of dura reticulate plasty in prevention of 29 patients with complica-tions induced by decompressive craniectomy were analyzed, incidence rates of related decompression complications during and after surgery were observed using head CT, and postoperative intracranial pressure ( ICP) detection was performed, and then modified Rankin scale ( mRS) was performed in postoperative 3 months to evaluate recovery conditions of patients. Results No complications such as bone window entrapment syndrome, brain prominentia, bone window hernia, reverse brain displace-ment or intracalvarium subdural effusion were found before and after surgery by head CT, and the above complications did not be seen by unaided eyes during surgery. During postoperative 5-10 d ICP detection for the 29 patients, ICP was less than 15 mmHg in 15 patients, ICP was 15-20 mmHg in 11 patients, and ICP was 20-25 mmHg in 3 patients. Postoperative 3 months mRS scores showed that 4 patients with 0 point, 7 patients with 1 point, 5 patients with 2 points, 5 patients with 3 points, 4 patients with 4 points, 2 patients with 5 points and 2 patients with 6 points, and well recovery rate was 55. 2% (16/29). Conclusion Decompressive craniectomy combined with dura reticulate plasty can effectively decompress, prevent related complications, reduce damage of related nerve function and improve clinical prognosis, but its effects needs to be further con-firmed.
Keywords：Intracranial hypertensionDecompressive craniectomyDura reticulate plasty
Publication Date：2016-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 83-86 )