Effects of early cranioplasty on hydrocephalus patients with craniocerebral injury after decomprssive craniotomy

YANG Fan

doi:10.13798/j.issn.1009-153X.2018.03.008

Abstract：Objective To investigate the effects of cranioplasty on hydrocephalus in patients with craniocerebral injury after the decompressive craniotomy. Methods One hundred and eight craniocerebral injury patients with hydrocephalus after decompressive craniotomy, who were treated in our hospital from January, 2014 to April, 2014 in our hospital, were randomly divided into early cranioplasty group in which 54 patients underwent cranioplasty 1~3 months after the decompressive craniotomy and late cranioplasty group in which 54 patients underwent cranioplasty 3~6 months after the decompressive craniotomy.Karnofsky performance status(KPS), the changes in the volumes of the ventricles 3 and 4 were determined 3 months after the cranioplasty and GOS was determined 3 and 12 months after the cranioplasty respectively in all the patients. Results The scores of KPS and GOS were significantly higher 3 months after the cranioplasty than those before the cranioplasty in both the groups (P<0.05). The scores of KPS and GOS were significantly higher in the early group than those in the late group 3 months after the cranioplasty(P<0.05).The improvements of ventricles 3 and 4 volumes were significantly better in the early cranioplasty group respectively than those in the late group 3 months after the cranioplasty (P<0.05). The rate of good prognosis and effective rate of the prognosis were significantly higher in the early cranioplasty group respectively than those in the late group 12 months after the cranioplasty(P<0.05).The rate of occurrence of postoperative complications was significantly lower in the early cranioplasty group than those in the late group 12 months after the cranioplasty (P<0.05). Conclusion The early cranioplasty after the decompressive craniotomy is more helpful to improvement of the prognoses and decreasing the postoperative complications than the late cranioplasty in the patients with craniocerebral injury.