同期治疗脑积水和颅骨缺损疗效分析

Effect of synchronization therapy on the curative effect of patients with hydrocephaly and skull defect

目的探讨颅脑损伤或脑出血手术后同期治疗脑积水和颅骨缺损的疗效。方法34例患者，其中颅脑损伤29例，高血压脑出血5例，均为去骨瓣减压术后合并交通性脑积水，同期行脑室-腹腔分流和颅骨缺损修补术。结果34例患者术后随访4—6个月，脑室无进一步扩大，意识障碍程度均减轻，其中2例术后10d内意识清醒，10例术后2个月内意识转清，3例合并皮下积液，无死亡病例。结论同期行脑室-腹腔分流和颅骨缺损修补术疗效明显，是治疗去骨瓣减压术后合并交通性脑积水的有效方法。

Objective To investigate the effect of the synchronization therapy on patients with hydrocephaly and skull defect caused by eranioeerebral injury and cerebral hemorrhage. Methods Thirty - four patients （ 29 with eraniocerebral injury and 5 hypertensive cerebral hemorrhage patients） after eranieetomy combined communicating hydrocephalus take the ventrieuloperitoneal shunt and skull defect neoplasty simultaneously. Results Take 4 to 6 months of follow - up visit of the patients, there was no more ventriculomegaly and the conscious disturbance was improved, Two patients had consciousness after 10 days of treatment,10 patients had consciousness in 2 months after,3 patients emerge subcutaneously hydrops,no patient die. Conclusion The effect of synchronization therapy on the couative effect of patients with hydrocephaly and skull defect is significantly and is a modus operandi to treat patients after eranieetomy combined communication hydrocephalus.