摘要
目的研究分析在脑外伤手术后实施同期脑室-腹腔分流与颅骨修补术的临床应用效果。方法选取在2015年4月~2017年8月本院接受的行脑外伤手术后发生颅骨缺损伴脑积水患者62例,均分两组予以临床治疗,对照组患者给予脑室-腹腔分流术后择期实施颅骨修补术治疗,而研究组患者则将脑室-腹腔分流术于颅骨修补术同期进行治疗,对两组的治疗效果加以对比。结果研究组患者的GOS、KPS与GCS评分均优于对照组,两组比较差异有统计学意义(P<0.05);研究组患者的并发症发生率较对照组比较,明显更低,组间数据比较差异有统计学意义(P<0.05)。结论临床上,使用脑室-腹腔分流术、颅骨修补术同期方式对脑外伤术后颅骨缺损伴脑积水患者治疗,其效果更加明显,值得予以使用。
Objective To study the clinical effect of the simultaneous ventriculo peritoneal shunt and cranioplasty after the operation of brain injury.Methods Accepted in our hospital in April 2015 August 2017 for traumatic brain injury after surgery of skull defect with hydrocephalus in 62 cases,divided into two groups of clinical treatment,the control group were treated with ventriculoperitoneal shunt received cranioplasty treatment,while the patients in the study group will be ventriculoperitoneal shunt in cranioplasty over the same period the treatment,the treatment effect of two groups were compared.Results The GOS,KPS and GCS scores in the study group were better than those in the control group,with statistical significance(P<0.05).The incidence of complications in the study group was significantly lower than that in the control group,and the data between the two groups were statistically different(P<0.05).Conclusion Ventriculoperitoneal shunt and cranioplasty in the same time are more effective in the treatment of skull defect and hydrocephalus after traumatic brain injury.
作者
李光远
Li Guangyuan(Panjin Central Hospital,Panjin,Lianning,124010,China)
出处
《当代医学》
2018年第21期29-31,共3页
Contemporary Medicine
关键词
脑外伤
脑室-腹腔分流术
颅骨修补术
同期
应用效果
Brain trauma
Ventriculoperitoneal shunt
Cranioplasty
Synchronization
Application effect
