Microsurgery in the treatment of complex cerebral contusion and laceration

doi:10.3877/cma.j.issn.2095-9141.2021.01.005

Abstract

Abstract:

Objective

To analyze and summarize the experience and curative effect of microsurgery in the treatment of complex cerebral contusion and laceration.

Methods

The clinical data of 45 patients with complex cerebral contusion and laceration who underwent microsurgery in Neurosurgery Department of 900^th Hospital of Joint Service Support Force from January 2018 to December 2020 were retrospectively analyzed.

Results

Unilateral craniotomy for unilateral contusion and laceration in 27 cases, bilateral craniotomy for bilateral contusion and laceration in 11 cases, unilateral craniotomy for bilateral frontal lobe contusion and laceration in 4 cases, and 3 cases with bilateral contusion were treated with unilateral evacuation of hematoma. The hematoma was completely removed in 18 cases, a small amount remained in 17 cases, and a partial residual in 10 cases. Postoperative hematoma recurred in 1 case and died in 1 case. After 3-6 months of follow-up, it is found that 26 cases recovered well with good GOS score, 8 cases had moderate disability, 6 cases had severe disability and 4 cases with vegetative state.

Conclusion

Microsurgery helps surgeon to completely remove the hematoma, adequately decompress intracranial pressure, reduce unnecessary iatrogenic injury, and reduce the risk of postoperative complications.

Key words: Complex cerebral contusion and laceration, Severe traumatic brain injury, Microsurgery

Yinxing Huang, Zheng Liu, Qizuan Chen, Shangming Zhang, Jun Tian, Liang Xue, Shousen Wang. Microsurgery in the treatment of complex cerebral contusion and laceration[J]. Chinese Journal of Neurotraumatic Surgery(Electronic Edition), 2021, 07(01): 21-24.

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References 14

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