Therapeutic Effect of Severe Brain Injury with Cerebral Hernia with Standard Big Bone Flap Decompression and Tentorium Cerebelli Hiatus Incision Operation
ZHENG Hua-yu
QIN Zhi-yong
WANG He-gong
Abstract：Objective:To analyze the clinical efficacy of severe traumatic brain injury with cerebral with standard big bone flap decompression and tentorium cerebelli hiatus incision operation for herniation.Method:84 cases of severe traumatic brain injury with cerebral herniation in our hospital from March 2011 to March 2013 were divided into two groups,control group with simple standard big bone flap decompression and test group with standard big bone flap decompression and tentorium cerebelli hiatus incision,the efficacy and prognosis of the two groups were compared by GCS.Result:The improvement around the brainstem pool of test group was significantly higher than control group(P<0.05).The fatality rate of test group cases was 16.67%,significantly lower than control group which was up to 35.71%(P<0.05).The scores of test group were much better than control group analyized by GCS after 4 weeks and 6 months(P<0.05). Conclusion:Severe brain injury with cerebral hernia line treated with standard big bone flap decompression and tentorium cerebelli hiatus incision,can reduce the case fatality rate,improve the quality of the outcome,has the value of clinical application.
Keywords：Severe traumatic brain injuryCerebral herniationStandard big bone flap decompressionTentorium cerebelli hiatus incision
Publication Date：2014-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：2( 3-4 )