Curative effects of the standard large craniectom on severe brain injuries

Objective: To explore the surgical methods and curative efficacy of the standard large trauma craniectomy on severe traumatic brain injured patients.Methods: The clinical data and efficacy of standard large trauma craniectomy in 24 patients on severe brain trauma from January 2005 to January 2008 were retrospectively analyzed.Results: There were 20 patients who were survived in 24 patients,accounting for 83.3%.Four patients were died,the death rate was 16.7%.A follow-up of more than 12 months were conducted in the 20 survived patients according to the activity of daily living(ADL) grading system,these patients who belongs to grade Ⅰ,grade Ⅱ,grade Ⅲ,grade Ⅳ,and grade Ⅴ were 9,7,2,1 and 1 respectively.Conclusions: The curative efficacy of standdard large trauma craniectomy on severe brain trauma is good.