颅脑损伤去骨瓣减压术后脑积水的治疗及预后分析  

Treatment and prognostic analysis of hydrocephalus after decompression of bone flap on craniocerebral injury

作　　者：张帅[1] 樊天禹 尹江柳 向鹏 Zhang Shuai;Fan Tianyu;Yin Jiangliu;Xiang Peng(Department of Neurosurgery,Changsha Central Hospital Affiliated of Nanhua University,Hunan Changsha 410000)

机构地区：[1]南华大学附属长沙中心医院神经外科,湖南长沙410000

出　　处：《中国社区医师》2020年第13期40-41,共2页Chinese Community Doctors

基　　金：湖南省自然科学基金项目(编号:2018JJ6086)。

摘　　要：目的:探讨颅脑损伤去骨瓣减压术后脑积水的治疗及预后。方法:2016年5月-2018年12月收治颅脑损伤去骨瓣减压术后脑积水患者100例,随机分为两组,各50例。分期组选择脑室腹腔分流术和颅骨修补分期治疗;同期组选择脑室腹腔分流术和颅骨修补同期治疗。比较两组治疗效果。结果:同期组格拉斯哥昏迷评分、神经功能缺损评分、QOL量表评分、颅内压及术后并发症发生率均优于分期组,差异有统计学意义(P<0.05)。结论:颅脑损伤去骨瓣减压术后脑积水患者实施脑室腹腔分流术和颅骨修补同期方案可获得较好效果,可有效减轻患者神经功能缺损,并改善意识状况,更好降低颅内压,减少相关并发症的发生。Objective:To investigate the treatment and prognosis of hydrocephalus after decompression of bone flap on craniocerebral injury.Methods:From May 2016 to December 2018,100 patients with hydrocephalus after decompression of bone flap on craniocerebral injury were enrolled,they were randomly divided into two groups with 50 cases in each group.The stage group selected ventriculoperitoneal shunt and stage treatment of cranioplasty,the concurrent group selected ventriculoperitoneal shunt and concurrent treatment of cranioplasty.The therapeutic effects between the two groups were compared.Results:The Glasgow coma score,the neurological deficit score,the QOL scale score,the intracranial pressure and postoperative complication rate in concurrent group were better than in stage group,the differences were statistically significant(P<0.05).Conclusion:Patients with hydrocephalus after decompression of bone flap on craniocerebral injury can achieve better results by performing ventriculoperitoneal shunt and concurrent treatment of cranioplasty,it can effectively reduce the neurological deficit of patients and improve the state of consciousness,reduce intracranial pressure and the occurrence of related complications.

关 键 词：颅脑损伤去骨瓣减压术 脑积水 治疗 预后 

分 类 号：R651.15[医药卫生—外科学]