【摘要】 目的研究早期颅骨修补联合脑室腹腔分流在外伤性脑积水治疗中的临床效果。方法选取2015年-2017年期间在本院进行治疗的颅脑外伤手术患者750例,术后并发脑积水患者40例。其中20例患者行脑室腹腔分流术后(3~6)个月进行二期颅骨修补(对照组),另20例患者颅骨修补同时行一期脑室腹腔分流(观察组)。观察术后1周对比两组脑外伤患者的格拉斯哥昏迷评分(GCS评分),术后6个月对比两组患者的预后。结果观察组外伤性脑积水患者术后1周的GCS评分较对照组显著改善(P <0.05),术后6个月远期预后两组有统计学差异(P <0.05)。结论一期颅骨修补及脑室腹腔分流能够提高外伤性脑积水患者术后及预后,在颅脑外伤血肿清除术后并发脑积水患者的治疗中值得推广。更多还原

【Abstract】 Objective To study the clinical effect of early cranioplasty combined with ventriculoperitoneal shunt in the treatment of traumatic hydrocephalus. Methods 750 patients with brain trauma treated in our hospital during the period of 2010 to 2017 were enrolled in this study. Forty patients were diagnosed with traumatic hydrocephalus. These patients were randomly divided into 2 groups, 20 cases of brain trauma patients were chosen as a group. In one group of patients with ventricular shunt, the operation of skull repair was performed after 3 ~6 months(control group), the other group underwent cranioplasty combined with ventriculoperitoneal shunt(observation group). One week after operation, the Glasgow Coma Scale(GCS score)of patients in these two groups was compared. After 6 months, the prognosis were compared between two groups. Results The GCS score and long-term prognosis of the patients in the observation group were better than those in the control group(P <0.05). Conclusion Cranioplasty combined with ventriculoperitoneal shunt are beneficial for early rehabilitation of patients with traumatic hydrocephalus, with fewer postoperative complications and lower treatment cost. It is worth promoting in the treatment of patients with traumatic hydrocephalus.更多还原