同期应用颅骨修补与脑室腹腔分流在脑外伤治疗中的临床效果分析

目的分析脑外伤患者应用早期颅骨修补与脑室腹腔分流术治疗的临床效果。方法选择2013年8月至2016年3月在本院接受治疗的脑外伤患者48例，随机平均分成2组，观察组实施脑室腹腔分流术治疗，同时实施颅骨修补术，对照组首先实施脑室腹腔分流术治疗，3个月后实施颅骨修补术，比较2组治疗临床效果。结果观察组伤残良好率为50%，对照组为20.83%；观察组预后优良率为87.5%，对照组为58.33%；观察组并发症发生率为12.5%，对照组为33.33%；观察组没有患者死亡，对照组有1例患者死亡。结论颅骨修补与脑室腹腔分流术同期进行较分期进行对于脑外伤患者效果更好，能够减轻伤残程度，改善患者预后，值得临床广泛推广。

Objective:To analyze the clinical effect of early cranioplasty and ventriculoperitoneal shunt in the treatment of patients with brain trauma.Methods:Randomly selected in August2013to20163months in the hospital accept treatment of traumatic brain injury patients with48patients participated in the study and were randomly divided into two groups,observation group implementation of ventriculoperitoneal shunt in the treatment,at the same time,the implementation of cranioplasty.Control group implements the ventriculoperitoneal shunt in the treatment of first,three months after the implementation of cranioplasty,compared two groups of clinical treatment effect.Results:Observation group disability good rate was50%,20.83%in the control group;observation group prognosis of the excellent and good rate was87.5%,58.33%in the control group;complication in observation group incidence was12.5%,33.33%in control group;observation group had no deaths,control group1patients died.Conclusion:Cranioplasty and ventriculo peritoneal shunt was carried out in the same period a staging for traumatic brain injury patients with better effect to reduce the degree of disability,improve the prognosis of patients,is worthy of clinical application.