早期颅骨修补及脑室分流治疗颅骨缺损并脑积水临床分析

Clinical analysis of early cranial repair and ventricle shunt in the treatment of skull defect and hydrocephalus

目的 探讨颅骨缺损合并脑积水患者手术治疗中选择早期颅骨修补与脑室腹腔分流同期手术的作用。方法 选取颅骨缺损合并脑积水患者68例,随机分为2组,对照组34例选择早期分流及延期颅骨修补方式,观察组34例选择早期颅骨修补与脑室腹腔分流同期手术。结果 观察组术后预后良好率明显高于对照组,术后15个月格拉斯哥预后评分(GOS)与格拉斯哥昏迷评分(GCS)均明显高于对照组,术后各项并发症发生率均明显低于对照组。结论 在颅骨缺损合并脑积水患者治疗中,选择早期、同期颅骨修补与脑室分流手术方式能够提高患者临床预后,加速患者神经功能康复,安全性较高。

Objective To investigate the role of early cranioplasty and ventriculo peritoneal shunt in the surgical treatment of patients with skull defect and hydrocephalus. Methods A total of 68 patients with skull defect and hydrocephalus were randomly divided into two groups.34 patients in the control group were selected for early shunt and delayed cranioplasty,and 34 patients in the observation group were selected early.Skull repair and ventriculo peritoneal shunt simultaneous surgery. Results The prognosis rate of the observation group was significantly higher than that of the control group.Glasgow's prognosis score (GOS) and Glasgow coma score (GCS) were significantly higher than the control group at 15 months after operation.The incidence of postoperative complications was significantly lower.In the control group. Conclusion In the treatment of patients with skull defect and hydrocephalus,the choice of early and concurrent cranioplasty and ventricular shunt surgery can improve the clinical prognosis of patients,accelerate the recovery of neurological function,and have higher safety and high clinical value.