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目的:研究脑室-腹腔分流术及颅骨修补术手术时机的选择,对于脑外伤后颅骨缺损并发脑水肿患者的临床治疗效果。方法:选取2006年1月到2016年1月在江苏省溧阳市人民医院治疗的脑外伤后颅骨缺损并发脑积水患者104例为研究对象,按照手术时机选择的不同,将患者分为观察组与对照组,每组52例患者,观察组患者在早期(<3月)行脑室-腹腔分流术及颅骨修补术;对照组患者先行脑室-腹腔分流术,后期(>3月)行颅骨修补术。比较观察组和对照组患者术后格拉斯哥昏迷指数(GCS)、格拉斯哥预后评分(GOS)。结果:观和对照组相比,观察组的治疗有效率明显提高,差异有统计学意义(P<0.05),有统计学意义。结论:对于外伤后颅骨缺损并发脑积水患者,早期行脑室-腹腔分流术及颅骨修补术可提高患者的治疗有效率,提高患者的生活质量,减少术后并发症。
Objective: To study the choice of timing of ventricle-peritoneal shunt and cranioplasty for the treatment of skull defects and cerebral edema after traumatic brain injury. Methods: From January 2006 to January 2016 in Liyang City People’s Hospital of Jiangsu Province, traumatic brain injury suffered traumatic brain injury with hydrocephalus in 104 cases of patients with the study, according to the timing of different options, the patients were divided into observation group In the control group, 52 patients in each group were treated with intraventricular-peritoneal shunt and skull repair in the early stage (<3 months). Patients in the control group were treated with intraventricular-abdominal shunting and cranial repair Surgery. Glasgow Coma Index (GCS) and Glasgow Outcome Scale (GOS) were compared between the observation group and the control group. Results: Compared with the control group, the observation group’s treatment efficiency was significantly improved, the difference was statistically significant (P <0.05), with statistical significance. Conclusion: For traumatic skull defect patients with hydrocephalus, early ventricle - peritoneal shunt and cranial repair can improve the treatment of patients with efficiency, improve patient quality of life and reduce postoperative complications.