Comparison of standard large trauma craniotomy and traditional craniotomy decompression in the treatment of severe traumatic brain injury
Fan Ruilong
Wang Popo
Wang Meiting
Abstract：Objective To compare the effects of standard large trauma craniotomy(SLTC)and traditional craniotomy decompression on patients with severe traumatic brain injury(sTBI).Methods The clinical data of 48 patients with sTBI were analyzed retrospectively.The patients were divided into two groups according to different treatment measures:the control group(24 patients,treated with traditional craniotomy decompression)and the observation group(24 patients,treated with SLTC).The intracranial pressure(ICP),cerebral oxygen metabolism indicators,complications,and prognosis were compared between the two groups.Results Seven days after surgery,the ICP was(14.30±1.59)mmHg and the arterial jugular vein oxygen content difference(Da-jvO2)was(50.39±3.01)ml/L in the observation group,both significantly lower than those in the control group[(18.41±2.01)mmHg and(55.22±3.72)ml/L,respectively].Meanwhile,the oxygen saturation in venous blood(CjvO2)was(97.54±11.38)ml/L and the arterial oxygen content(CaO2)was(162.22±11.57)ml/L in the observation group,both significantly higher than those in the control group[(88.75±9.21)ml/L and(153.24±9.75)ml/L,respectively].Six months after surgery,the Glasgow Outcome Scale(GOS)score in the observation group was(4.13±0.28),significantly higher than that in the control group[(3.52±0.26),P<0.05].There was no significant difference in complications between the two groups(P>0.05).Conclusions SLTC can effectively reduce ICP,regulate cerebral oxygen metabolism,and potentially reduce complications in patients with sTBI,thereby improving their prognosis.It demonstrates significant clinical value and is worthy of further popularization clinically.
Keywords：traumatic brain injuryseverecraniotomy decompressionstandard large bone flaptraditionalcerebral oxygen metabolism
Publication Date：2024-09-20
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 539-542 )