摘要
目的分析颅脑损伤治疗中利用早期颅骨修补及脑室腹腔分流术的临床疗效。方法方便选取2013年8月—2015年8月收治的72例颅脑损伤患者,用数字随机表法为早期组和常规组对照研究。常规组入院后行脑室腹腔分流术,间隔5~6个月后行颅骨修补术。早期组入院2~3个月后行颅骨修补和脑室腹腔分流术。观察两组疗效。结果经治疗后,早期组预后优良率比常规组高(91.6%vs 75.0%),差异有统计学意义(P<0.05)。术后早期组并发症率比常规组低(11.1%vs 25.0%),差异有统计学意义(P<0.05)。结论颅脑损伤患者使用早期颅骨修补和脑室腹腔分流术治疗可明显改善患者的预后,减少术后并发症。
Objective To analyze the clinical curative effect of early cranioplasty and ventriculoperitoneal shunt in treatment of craniocerebral injury.Methods Convenient selection 72 cases of patients with craniocerebral injury admitted and treated in our hospital from August 2013 to August 2015 were selected and randomly divided into two groups,the routine group adopted the ventriculoperitoneal shunt after admission,after 5 to 6 months,the patients were treated with cranioplasty,and after 2 to 3 months,the patients in the early group were treated with cranioplasty and ventriculoperitoneal shunt,and the curative effect was observed.Results After treatment,the prognosis excellent and good rate in the early group was higher than that in the routine group（91.6% vs 75.0%）,and the difference had statistical significance（P〈0.05）,the incidence rate of complications after operation in the early group was lower than that in the routine group（11.1% vs 25.0%）,and the difference had statistical significance（P〈0.05）.Conclusion The application of early cranioplasty and ventriculoperitoneal shunt in treatment of craniocerebral injury can obviously improve the prognosis of patients and reduce the postoperative complications.
出处
《中外医疗》
2017年第8期19-21,共3页
China & Foreign Medical Treatment
关键词
颅脑损伤
早期
颅骨修补术
脑室腹腔分流术
Craniocerebral injury
Early
Cranioplasty
Ventriculoperitoneal shunt
