脑室-腹腔分流手术治疗脑外伤并发脑积水的效果探究  

Ventriculoperitoneal Shunt Operation for Treatment of Traumatic Brain Injury Complicated With Hydrocephalus

作　　者：赵勇[1] 朱建国[1] 王毅东[1] 

机构地区：[1]大连市第三人民医院急诊科,辽宁大连116033

出　　处：《中外医疗》2015年第8期107-109,共3页China & Foreign Medical Treatment

摘　　要：目的对采用脑室-腹腔分流手术治疗脑外伤并发脑积水的临床疗效进行观察与评价。方法选取2010年1月—2014年8月该院收治的60例脑外伤并发脑积水患者为研究对象,将60例患者分为轻中度脑积水组(42例)及重度脑积水组(18例),对所有患者行脑室-腹腔分流手术,观察临床疗效并进行组间比较。结果 42例轻中度脑积水组患者中显效24例,有效14例,有效率为95.2%;18例重度轻脑积水组患者中显效6例,有效4例,有效率为55.6%,两组总有效率为83.3%。组间比较轻中度脑积水组的治疗有效率高于重度脑积水组,差异具有统计学意义(P<0.05)。轻中度脑积水组患者术后3个月与术前相比GCS评分显著增高,V/BP值及脑室周围水肿带直径均显著降低(P<0.05),重度脑积水组患者的上述各项指标则与术前相比未见明显变化(P>0.05)。结论 对于脑外伤并发脑积水患者采取脑室-腹腔分流手术疗效显著,对于改善患者预后具有积极意义。轻中度外伤性脑积水行脑室-腹腔分流术的效果较重度脑积水患者更佳,因此临床上对脑外伤性脑积水患者应及早发现并予以有效治疗。Objective To observe and evaluate the clinical curative effect of using ventriculo peritoneal shunt operation for treatment of traumatic brain injury complicated with hydrocephalus. Methods 60 cases of cerebral trauma complicated with hydrocephalus patients were selected as the research object in our hospital from January,2010 to August,2014. 60 patients were divided into mild to moderate hydrocephalus group （42 cases） and severe hydrocephalus group （18 cases）, all patients received ventricu-loperitoneal shunt operation, clinical observation and comparison were among the groups. Results 42 patients with mild to moderate hydrocephalus in patients had markedly 24 cases, effective of 14 cases, the effective rate was 95.2%; 18 cases of severe hydro-cephalus in patients with mild markedly 6 cases, effective 4 cases, effective rate was 55.6%, the total efficiency of two groups of 83.3%. The treatment group comparison of mild to moderate hydrocephalus group the effective rate is higher than the severe hy-drocephalus group, with statistically significant difference （P 〈0.05）. Mild to moderate hydrocephalus group of patients after 3 months compared with the preoperative GCS score significantly increased, V/BP value and periventricular edema zone diameter were significantly decreased （P〈0.05）, severe hydrocephalus patients above indexes were compared with those before operation showed no significant changes （P 〉0.05）. Conclusion The cerebral trauma complicated with hydrocephalus ventriculoperitoneal shunt surgery patients to take a significant effect, it is of positive significance for improving the prognosis of the patients. Mild and moderate traumatic hydrocephalus with ventriculo peritoneal shunt effect of severe hydrocephalus patients better, therefore clinically on cerebral traumatic hydrocephalus patients should be early discovered and to be effective in the treatment.

关 键 词：脑室-腹腔分流手术 脑外伤 脑积水 

分 类 号：R473[医药卫生—护理学]