Comparison of the Efficacy of Standard Decompressive Craniectomy Combined with Cerebrospinal Fluid Circulation Reconstruction in the Treatment of Severe Craniocerebral Injury

Abstract

Abstract： Objective: To observe and discuss the clinical effect of standard decompressive craniectomy combined with cerebrospinal fluid circulation reconstruction in the treatment of severe craniocerebral injury. Methods: Seventy patients who underwent surgery in our hospital were selected as subjects for this study. The time was from August 2016 to August 2018, and patients were divided into experimental group (35 cases) and control group (35 cases) according to the random number table method. The control group was treated with a single standard decompressive craniectomy according to clinical symptoms. The experimental group was treated with standard decompressive craniectomy combined with cerebrospinal fluid circulation reconstruction. The surgical treatment effect, GCS (Glasgow Coma Scale) score and operation time were compared between the two groups. Results: After comparison, the surgical treatment effect of the experimental group was higher than that of the control group and there was a significant difference between the two groups (P<0.05). The GCS score and operation time of the experimental group were also better than of the control group and there was a significant difference the two groups (P<0.05). Conclusion: The use of standard decompressive craniectomy combined with cerebrospinal fluid circulation reconstruction in the treatment of severe craniocerebral injury is more effective and worthy of widespread promotion and application.