颅骨缺损合并脑积水同期手术及分期手术治疗的比较

Comparison of Surgical and Staged Surgical Treatment of Skull Defect Complicated with Hydrocephalus

目的比较颅骨缺损合并脑积水同期与分期手术的疗效,为临床择优选择治疗方案提供参考。方法方便选取2013年7月—2017年6月徐州医科大学附属医院和沛县人民医院61例颅骨缺损合并脑积水患者为研究对象,全部患者均以脑室-腹腔分流术(V-P分流术)联合颅骨修补术进行治疗,依据时机不同分为实验组(分期手术,31例)和对照组(同期手术,30例)。观察两组疗效,统计并发症。结果实验组治疗优良率(77.42%)与对照组(76.67%)比较,差异无统计学意义(P>0.05)。实验组并发症发生率(22.58%)低于对照组(53.33%),差异有统计学意义(P<0.05)。结论颅骨缺损合并脑积水同期或分期手术疗效相近,但分期手术并发症较少,有益于患者早期恢复,更具推广价值。

Objective This paper tries to compare the curative effect of the operation of skull defect combined with hydrocephalus in the same period and staging, so as to provide a reference for the clinical treatment. Methods 61 cases of skull defect combined hydrocephalus patients from July 2013 to June 2017 in these two hospitals were conveniently selected as the research objects, all patients with ventriculoperitoneal shunt（V-P shunt） combined cranioplasty for treatment, according to different time, they were divided into the experimental group（31 cases of surgical staging） and the control group（30 cases of surgery）. The curative effects of two groups were observed and statistical complications were observed. Results The excellent and good rate of treatment in the experimental group was 77.42%, no significant difference compared with the control group of 76.67%（P〉0.05）. The complication rate of the experimental group was 22.58%, lower than that of the control group of 53.33%, the difference was statistically significant（P 〈0.05）. Conclusion Surgical treatment of skull defect combined with hydrocephalus has similar curative effect, but it has less complications, and is more beneficial to early recovery of patients.