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目的:观察早期颅骨修补及脑室腹腔分流在颅骨缺损伴脑积水治疗中的临床效果。方法:选取我院收治的脑外伤后颅骨缺损合并脑积水患者110例(2013年5月~2016年5月期间)。使用抽签的方式将其简单随机分为2组,观察组、对照组各55例。对照组脑外伤患者在血肿清除术后3个月先行脑室腹腔分流术,6个月后再行颅骨修补术;观察组患者术后即进行早期颅骨修补及脑室腹腔分流治疗。对比2组患者的术中出血量、手术时间、皮瓣游离时间指标。结果:治疗后,观察组患者的术中出血量、手术时间、皮瓣游离时间均明显短于对照组,P<0.05。结论:脑外伤患者在血肿清除术后早期颅骨修补联合脑室腹腔分流术治疗的效果显著,可推广。
Objective: To observe the clinical effect of early skull repair and ventriculoperitoneal shunt in the treatment of skull defects with hydrocephalus. Methods: A total of 110 patients with craniofacial defects and hydrocephalus after traumatic brain injury in our hospital were selected from May 2013 to May 2016. Using the way of lottery, they were randomly divided into two groups randomly: observation group and control group. The control group of patients with traumatic brain injury were treated with intraperitoneal peritoneal shunt 3 months after hematoma removal and cranial repair 6 months later. The patients in observation group were treated by early cranial repair and peritoneal shunt. The blood loss, operation time and flap free time of two groups were compared. Results: After treatment, the intraoperative blood loss, operation time and flap free time in the observation group were significantly shorter than those in the control group (P <0.05). Conclusion: The effect of early skull repair combined with intracerebroventricular shunt on patients with traumatic brain injury after traumatic brain injury is significant and can be promoted.