摘要
目的探讨早期一次性第三脑室底造瘘术联合颅骨修补术在外伤性脑积水(PTH)合并颅骨缺损治疗中的作用。方法回顾性分析2013年8月—2018年12月同期行第三脑室底造瘘术及颅骨修补术的颅脑外伤病例15例,对其临床资料、并发症及预后等数据进行总结。结果该组手术时机均选在颅脑外伤后3个月内,术后并发颅骨修补切口愈合不良并皮下积液1例,2例效果不佳行脑室-腹腔分流术。恢复良好6例(40.00%),中残7例(46.7%),重残2例(13.3%),无死亡病例。结论神经内镜下第三脑室底造瘘术(ETV)符合脑脊液循环生理学特点,创伤相对小,并发症更少,早期联合颅骨修补术是治疗外伤性脑积水合并颅骨缺损的有效方法。
Objective To investigate the role of early disposable third ventriculostomy combined with cranioplasty in the treatment of traumatic hydrocephalus (PTH) with skull defect. Methods A retrospective analysis of 15 cases of craniocerebral trauma with third ventriculostomy and cranioplasty from August 2013 to December 2018 was performed. The clinical data, complications and prognosis were summarized. Results The operation time of this group was selected within 3 months after craniocerebral trauma. The postoperative craniotomy was used to repair the incision and the subcutaneous effusion was poor. In 2 cases, the ventricle-peritoneal shunt was performed with poor results;6 cases (40.0%) with good recovery, 7 cases (46.7%) with moderate disability, and 2 cases (13.3%) with severe disability. There were no deaths. Conclusion Endoscopic third ventriculostomy (ETV) is consistent with the physiology of cerebrospinal fluid circulation. The trauma is relatively small and the complications are less. Early combined with cranioplasty is an effective method for the treatment of traumatic hydrocephalus with skull defect.
作者
冉忠营
尹浩
马骏
杨承勇
熊云彪
RAN Zhong-ying;YIN Hao;MA Jun;YANG Cheng-yong;XIONG Yun-biao(Department of Neurosurgery, Guizhou Provincial People's Hospital, Guiyang, Guizhou Province, 550002 China)
出处
《中外医疗》
2019年第17期54-56,共3页
China & Foreign Medical Treatment
