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| Comparative Study of Standard Large Flap and Conventional Flap Decompression in the Treatment of Severe Craniocerebral Injury |
| LI Qing, LI Weidong, DING Yuan, et al |
| Wuhu First People's Hospital, Anhui wuhu 241000, China |
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Abstract Objective: To observe the therapeutic effect of standard large bone flap and conventional bone flap decompression on patients with severe craniocerebral injury. Methods: 90 patients with severe craniocerebral injury were divided into observation group and control group according to random number table method, 45 cases in each group. The observation group was treated with standard large bone flap decompression combined with dural reticulotomy, while the control group was treated with conventional bone flap decompression combined with radial dural incision. Intracranial pressure (ICP), brain metabolic index, disturbance of consciousness, prognosis of disease and ability of daily living after treatment were compared between the two groups. Results: The ICP, CCP, SVO2, GCS, GOS and Bathel of the patients in the observation group were better than those in the control group (P<0.05). Conclusion: Compared with conventional craniotomy and craniotomy, standard large craniotomy combined with duratomy can effectively reduce intracranial pressure, promote brain metabolism and improve the prognosis of severe craniocerebral injury.
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2020, Vol. 26 
