颅骨修补术与脑室腹腔分流术联合治疗重症颅脑损伤颅骨缺损并脑积水的临床疗效分析  

Analysis of clinical effect of cranioplasty combined with ventriculoperitoneal shunt in treatment of severe craniocerebral injury with skull defect complicated with hydrocephalus

作　　者：周明安[1] 田少斌[1] Zhou Ming'an;Tian Shaobin(Department of Brain Sursery,The First People's Hospital of Tianmen,Tianmen,Hubei,431700,China)

机构地区：[1]湖北省天门市第一人民医院脑外科,湖北天门431700

出　　处：《当代医学》2020年第10期63-65,共3页Contemporary Medicine

摘　　要：目的分析颅骨修补术与脑室腹腔分流术联合治疗重症颅脑损伤颅骨缺损并脑积水的效果。方法选取2014年1月至2019年5月本院收治的50例重症颅脑损伤颅骨缺损并脑积水患者为研究对象,随机分为对照组与观察组,每组25例。对照组给予常规分期手术治疗,观察组给予颅骨修补术与脑室腹腔分流术治疗。对比两组并发症发生率和神经功能缺损评分。结果观察组并发症发生率和神经功能缺损评分显著低于对照组,差异具有统计学意义(P<0.05)。结论对重症颅脑损伤颅骨缺损并脑积水患者实施颅骨修补术结合脑室腹腔分流术疗效显著,安全性高,有助于改善患者神经功能,使用价值高,值得临床推广。Objective To panalyze the effect of cranioplasty combined with ventriculoperitoneal shunt in treatment of severe craniocerebral injury with skull defect complicated with hydrocephalus.Methods 50 cases of patients with severe craniocerebral injury with skull defect complicated with hydrocephalus and who treated in our hospital from January 2014 to May 2019 were selected as the research subjects,and the patients were randomly divided into the control group and the observation group,with 25 cases in each group.The control group was treated with routine staging operation,while the observation group was treated with cranioplasty and ventriculoperitoneal shunt.The complication rate and neurological deficit score were compared between the two groups.Results The incidence of complications and neurological deficit scores in the observation group were significantly lower than those in the control group,and there was statistical significant difference(P<0.05).Conclusion The clinical effects of cranioplasty combined with ventriculoperitoneal shunt in treatment of severe craniocerebral injury with skull defect complicated with hydrocephalus are significant,the safety are high,and it is helpful to improve patients’ nervous function,the value of use is high,thus it is worth promoting.

关 键 词：颅骨修补术 脑室腹腔分流术 颅脑损伤 脑积水 

分 类 号：R651.15[医药卫生—外科学]