脑室腹腔分流手术治疗创伤性脑损伤后不同程度脑积水的临床研究  

Clinical Study on Different Degrees of Hydrocephalus After Traumatic Brain Injury Treated by Ventriculoperitoneal Shunt Surgery

作　　者：王琳[1] WANG Lin(Department of Neurosurgery,Zhengzhou Third People’s Hospital,Zhengzhou,450000,China)

机构地区：[1]郑州市第三人民医院神经外科

出　　处：《黑龙江医学》2019年第11期1363-1364,共2页Heilongjiang Medical Journal

摘　　要：目的探讨脑室腹腔分流手术治疗创伤性脑损伤后不同程度脑积水的临床研究。方法选择2017年9月—2018年11月期间在郑州市第三人民医院进行治疗创伤性脑损伤后脑积水的患者50例作为研究对象,按随机数字表法将患者分为对照组和观察组,每组25例。对照组患者采用腰大池腹腔分流手术,观察组患者采用脑室腹腔分流手术。2个月后对患者的效果进行评估,比较两组患者手术后的并发症发生概率和分析患者有关脑部神经功能评分数据。结果观察组患者手术后的术后感染、分流管堵塞、小脑扁桃体下疝发生的概率均小于对照组,差异有统计学意义(P<0.05)。经过2个月的临床治疗后,观察组患者GOS评分以及脑神经功能恢复评分情况均优于对照组,差异有统计学意义(P<0.05)。结论将脑室腹腔分流手术应用于治疗创伤性脑损伤后脑积水的患者可以提高治疗的有效率,降低患者发生并发症的概率,值得推广应用。Objective To explore the clinical study of different degrees of hydrocephalus after traumatic brain injury treated by ventriculoperitoneal shunt.Methods 50 patients with hydrocephalus after traumatic brain injury from September,2017 to November,2018 in Zhengzhou Third People’s Hospital were selected.The patients were randomly divided into two groups:control group and ob?servation group.The patients in the control group were treated with lumbar cistern shunt,and the patients in the observation group were treated with ventriculoperitoneal shunt.2 months later,the effect of the patients was evaluated,and the postoperative complica?tions in the observation group were compared with those in the control group.Probability of complications of two groups was compared,and analysis of patients with brain neurological function score data was done.Results The incidence of postoperative infection,ob?struction of shunt and lower cerebellar tonsil hernia in the observation group were lower than those in the control group.The difference was statistically significant(P<0.05).After 2 months of clinical treatment,the scores of GOS and recovery of cerebral nerve function in the observation group were better than those in the control group(P<0.05).Conclusion The application of ventriculoperitoneal shunt in the treatment of hydrocephalus after traumatic brain injury can improve the effective rate of treatment.It is worth popularizing and applying to reduce the probability of complications in patients.

关 键 词：脑室腹腔分流 脑损伤 脑积水 治疗效果 并发症 

分 类 号：R742.7[医药卫生—神经病学与精神病学]