早期脑室-腹腔分流术和颅骨修补术治疗脑外伤的分析

Analysis of early ventriculoperitoneal shunt and cranioplasty for traumatic brain injury

目的:探讨早期脑室-腹腔分流术和颅骨修补术治疗脑外伤的临床治疗效果。方法:收集医院神经外科接收的120例脑外伤颅骨损伤且存活的患者。将所有患者随机且平均分为研究组和对照组。观察组两组患者手术前和手术后的拉斯哥昏迷评分变化分析、两组患者治疗后的治疗效果评分、两组手术后的伤残情况分析比较。结果:研究组中患者的手术后拉斯哥昏迷评分、治疗效果优良率评分均好于对照组。研究组和对照组的观察数据对比差异均具有统计学意义(P<0.05)。结论:患者采用早期脑室-腹腔分流术和颅骨修补术治疗脑外伤效果显著,具有临床推广和研究的价值。

Objective：To study the clinical effect of early urban peritoneal shunt and eranioplasty in the treatment of traumatic brain injury. Methods： 120 patients with traumatic brain injury were received in Department of neurosurgery in the of the people＇s Hospital of beijing. All patients were randomized and equally divided into study and control groups. The observation group, two groups of patients before operation and after operation of coma coma scale change analysis, two groups of patients after treatment effect score, two groups of postoperative disability analysis and comparison. Results：in the study group, the scores of the postoperative coma coma coma coma scale and the treatment effect rate were better than those of the control group. The observation data of the study group and the control group were significantly different （P〈 0.05）, which was statistically significant. Conclusion： the early ventricular ventriculoperitoneal shunt and cranioplasty are effective in the treatment of traumatic brain injury, and have the value of clinical promotion and research.