摘要
目的探讨外伤性颅骨缺损合并交通性脑积水患者同期手术的疗效。方法14例颅骨缺损合并脑积水患者均采用同期手术治疗，术中先行颅骨缺损修补，然后行脑室一腹腔分流术，脑室穿刺点选择在颅骨缺损处。修补额部时穿刺前角，修补颞部时穿刺三角区，缝合腹部切口时应用皮肤缝合线阻断分流管，术后第7天开放分流管。结果全组患者颅骨塑型满意，无感染及皮下积液等并发症发生；脑积水患者术前表情淡漠、尿失禁或夜尿多等现象，术后均改善或消失；原脑室扩大均有不同程度缩小。结论颅骨缺损合并交通性脑积水患者同期手术效果良好。
Objective To explore the therapeutic effect of same phase operation for skull defect and hydrocephalus. Methods 14 patients with skull defect and hydrocephalus were all operated. The skull defects were restored, and then lateral ventricle abdominal cavity shunting were taken from the enter point near skull window, while the tube rocked temporaie through the skin suture. At the seventh day after operation the drainage tube was opened. Results The results were satisfactory. No infection or fluid under scalp occurred,urine incontinence or more nocturia were cured after operation. The enlarged ventricle could recover. Coclusion The same phase operation for skull defects and hydrocephalus has better effect.
出处
《中国综合临床》
北大核心
2008年第2期119-120,共2页
Clinical Medicine of China
基金
广东省重点科技攻关项目分题（99M04606G）
关键词
颅骨缺损
脑积水手术
Skull Defect
Hydrocephalus operation
