脑室-腹腔分流术联合颅骨修补术同期治疗脑积水的效果分析  

Analysis of the Effect of Simultaneous Treatment of Hydrocephalus by Ventriculo-ventral Shunt Combined with Cranial Repair Surgery

作　　者：王云江 陈正楼[1] 胥敏[1] 火旭其 薛亚 季祥 宋孟若 王宏盛[1] WANG Yunjiang;CHEN Zhenglou;XU Min;HUO Xuqi;XUE Ya;JI Xiang;SONG Mengruo;WANG Hongsheng(Department of Neurosurgery,Yancheng Third People's Hospital,Yancheng,Jiangsu Province,224000 China)

机构地区：[1]盐城市第三人民医院神经外科,江苏盐城224000

出　　处：《系统医学》2024年第2期165-168,共4页Systems Medicine

摘　　要：目的在脑积水患者的治疗中同期开展脑室-腹腔分流术、颅骨修补术并分析其效果。方法选取2016年9月—2023年8月在盐城市第三人民医院行相关手术治疗的60例脑积水患者为研究对象。采用随机系统抽选法,将患者分为两组,对照组(30例)先做脑室-腹腔分流手术、后做颅骨修补手术,而观察组(30例)则同期进行以上两种手术。对比分析临床治疗效果。结果观察组患者日常生活活动能力表评分、运动功能、认知功能、格拉斯哥预后分级评分和卡氏功能状态评分均优于对照组,差异有统计学意义(P均<0.05);观察组治疗总有效率高达96.67%,相较对照组的73.33%显著更高,差异有统计学意义(χ^(2)=6.405,P=0.011);观察组并发症发生率相较对照组显著更低,差异有统计学意义(P<0.05)。结论脑室-腹腔分流术和颅骨修补术同期用于脑积水患者治疗中,具有治疗意义。Objective To carry out Ventriculo-ventral shunt and cranial repair during the same period in the treat⁃ment of patients with hydrocephalus and to analyze their effects.Methods Sixty patients who underwent relevant surgi⁃cal treatments for hydrocephalus in Yancheng Third People's Hospital between September 2016 and August 2023 were collected as study subjects.Using the randomized systematic sampling method,the patients were divided into two groups,with 30 cases in the control group undergoing Ventriculo-ventral shunt surgery first and cranial repair surgery later,while 30 cases in the observation group underwent the above two surgeries at the same time.The clinical treat⁃ment effects were compared and analyzed.Results The score of Barthel Index,motor function,cognitive function,score of Glasgow Outcome Scale and Carpenter's functional status score of the patients in the observation group were better than those of the control group,the differences were statistically significant(all P<0.05).The total effective rate of treatment in the observation group was as high as 96.67%,which was significantly higher compared with 73.33%in the control group,the difference was statistically significant(χ^(2)=6.405,P=0.011).The complication rate of the observa⁃tion group was significantly better compared with the control group,the difference was statistically significant(P<0.05).Conclusion Ventriculo-ventral shunt and cranial repair are therapeutically significant when used concurrently in the management of patients with hydrocephalus.

关 键 词：脑室-腹腔分流术 颅骨修补术 脑积水 认知功能 

分 类 号：R4[医药卫生—临床医学]