Translational Surgery

ORIGINAL ARTICLE
Year
: 2017  |  Volume : 2  |  Issue : 4  |  Page : 81--84

Large decompressive craniectomy combined with vascular reconstruction in patients with severe craniocerebral injury


Xipeng Wang1, Feng Ruan2, Ping Liu2 
1 Department of Orthopaedic Surgery, Hospital of Kanazawa Medical University, 1-1 Daigaku, Uchinada-machi, Kahoku-gun, Ishikawa 920-0293, Japan
2 Department of Orthopaedic Surgery, Liyuan Hospital, Tongji Medical College, Huazhong University of Science and Technology, Hubei, China

Correspondence Address:
Ping Liu
Department of Orthopaedic Surgery, Liyuan Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430077, Hubei
China

Aim: This study aims to compare the effect of large decompressive craniectomy combined with vascular reconstruction and traditional decompressive craniectomy in the treatment of severe craniocerebral injury. Methods: Forty-eight cases of severe craniocerebral injury were collected from March 2012 to March 2015 in Liyuan Hospital, Tongji Medical College, Huazhong University of Science and Technology. Patients undergoing large decompressive craniectomy combined with vascular reconstruction or traditional decompressive craniectomy were randomly divided into two groups: the experimental group and the control group. The hemodynamic changes were observed by computed tomography perfusion, and the postoperative Glasgow Outcome Score (GOS) was analyzed. Results: The cerebral blood flow (CBF) and cerebral blood volume (CBV) scores in experimental group were higher than that in the control group at 1 week and 1 month after the operation (P < 0.05). The mean transit time (MTT) and time to peak (TTP) scores in experimental group were lower than that in the control group at 1 week and 1 month after the operation (P < 0.05). The relative CBF and relative CBV values of the control group in 1 week were higher than that in 1 month, while the relative MTT and relative TTP values in 1 week were lower than that in 1 month. The rate of good recovery (including good and residual cases) in experimental group was higher than that in the control group whereas the rate of poor recovery (including severe disability, vegetative state, and death) in experimental group was lower than that in the control group (P < 0.05). Conclusion: The large decompressive craniectomy combined with vascular reconstruction can not only decrease intracranial pressure but also recover the blood supply of the brain. It deserves the clinical promotion.


How to cite this article:
Wang X, Ruan F, Liu P. Large decompressive craniectomy combined with vascular reconstruction in patients with severe craniocerebral injury.Transl Surg 2017;2:81-84


How to cite this URL:
Wang X, Ruan F, Liu P. Large decompressive craniectomy combined with vascular reconstruction in patients with severe craniocerebral injury. Transl Surg [serial online] 2017 [cited 2018 Oct 22 ];2:81-84
Available from: http://www.translsurg.com/article.asp?issn=2468-5585;year=2017;volume=2;issue=4;spage=81;epage=84;aulast=Wang;type=0