Application of controlled decompression to patients with severe traumatic brain injury
XUE Ze-bin
CHEN Jun-chen
TAN Dian-hui
LI Yong
LAI Run-long
Abstract：Objective To investigate the clinical effects of controlled decompression on severe traumatic brain injury (sTBI). Methods Of 146 patients with sTBI, 52 (treatment group) underwent controlled decompression and 94 (control group) underwent decompression of routine standard large craniotomy. Results The rates of occurrences of intraoperative acute encephalocele, delayed intracranial hematoma and hydrocephalus were significantly lower in the treatment group than those in the control group(P<0.05).GOS scores were significantly higher in the treatment group than those in the control group 6 months after the operation (P<0.05). Conclusions The controlled decompression may decrease the rates of the rate of encephalocele, delayed intracranial hematoma, and hydrocephalus and improve the prognoses in the patients with sTBI.
Keywords：Severe traumatic brain injuryControlled decompressionPrognosisComplication
Publication Date：2018-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 170-172 )