早期颅骨修补术联合脑室腹腔分离术对脑外伤的治疗作用研究  

Research on the effect for early cranioplasty joint ventriculoperitoneal shunt method in the treatment of traumatic brain injury

作　　者：孙永[1] 孙辉[1] 朱峰[1] 

机构地区：[1]青海红十字医院神经外科,青海西宁810000

出　　处：《现代预防医学》2012年第24期6531-6532,6535,共3页Modern Preventive Medicine

摘　　要：目的探讨早期颅骨修补术联合脑室腹腔分离术对脑外伤患者的治疗作用。方法选择自2008年3月～2012年2月某院治疗的104例颅骨缺损同时脑积水的患者,按照患者入院的先后顺序分组,奇数组作为对照组,偶数组作为治疗组,每组52例。对照组患者行早期的去骨瓣减压手术;治疗组于术后1～2个月内采用颅骨修补术联合脑室腹腔分离术,对两组患者的预后及并发症的发生情况进行统计分析。结果治疗组与对照组的临床有效率分别为76.92%(40/52)、50.00%(26/52),两组比较差异有统计学意义(χ2=21.47,P﹤0.05);死亡率方面比较,治疗组明显少于对照组(P﹤0.05);两组患者均无明显并发症发生。结论对颅骨缺损同时脑积水的患者,在早期采用颅骨修补术联合脑室腹腔分离术治疗,可以明显改善患者的神经功能障碍,提高临床治疗效果,避免严重并发症的发生,更加有效地降低了临床死亡率。OBJECTIVE To investigate the effect of early cranioplasty joint ventriculo-peritoneal shunt method in the treatment of traumatic brain injury. METHODS 104 cases of skull defect hydrocephalus patients from March 2008 to February 2012 in our hospital were chosen as the research object. According to the sequence of patients admitted to hospital, and the odd array group was set as the control group, the even group was set as the treatment group, and each group had 52 cases. The control group was taken with early decompressive craniectomy surgery; and the treatment group was taken with cranioplasty joint ven- triculo-peritoneal shunt method in the 1 to 2 months after surgery. The prognosis and complications of the two groups were taken for statistical analysis. RESULTS The clinical efficiency rates of the treatment group and the control group were 76.92% （40/ 52） and 50.00% （26/52）, respectively. There was significant difference （χ2 = 21.47, P 〈 0.05）. Compared in the mortality, the treatment group was significantly less than the control group （P 〈 0.05 ）. There were no significant complications for the two groups. CONCLUSION For the patients with skull defects and hydrocephalus, early cranioplasty joint ventriculo-peritoneal shunt therapy can significantly improve the patient＇s neurological dysfunction, improve clinical outcomes, and avoid the occur- rence of serious complications and reduce the clinical mortality effectively.

关 键 词：颅骨修补术 脑室腹腔分离术 颅脑损伤 神经功能障碍 

分 类 号：R651.1[医药卫生—外科学]