颅骨修补与脑室腹腔分流早期治疗脑外伤的体会

Cranioplasty and ventriculoperitoneal shunt for early treatment of traumatic brain injury

目的:探讨早期颅骨修补与脑室腹腔分流治疗脑外伤的效果。方法:回顾性分析2009年1月至2014年12月普宁市华侨医院收治的17例脑外伤患者的临床资料,早期同时行颅骨修补与脑室腹腔分流进行治疗。结果:手术时间在伤后3至4个月以内,术后并发分流管堵塞1例,意识及神经能障碍得到不同度改善,无手术死亡病例。结论:颅脑伤损伤术后颅骨缺损、脑膨出、脑积水严重影响患者预后,早期同时行颅骨补与脑室腹腔分流并发症少,有利于患者意识及神经功能障碍的恢复。

Objective： To investigate the effect of cranioplasty and ventriculoperitoneal shunt for early treatment of traumatic brain injury. Methods： The clinical data of 17 patients with traumatic brain injury hospitalized in Puning Overseas Chinese Hospital between January 2009 and December 2014 were retrospectively analyzed. All patients underwent cranioplasty and ventriculoperitoneal shunt for early treatment of traumatic brain injury. Results： At 3 to 4 months after the treatment,1 case with obstruction of the shunt,different degrees of improvement of consciousness and nerve dysfunction,and no operation death case were found. Conclusion：Skull defect, encephalocele, and hydrocephalus after the treatment of traumatic brain injury significantly influence the prognosis of patients. Cranioplasty and ventriculoperitoneal shunt for early treatment of traumatic brain injury show less complications,which favor the recovery of consciousness and nerve dysfunction for patients.