不同时间手术对颅脑缺损伴发脑积水作用的研究

Study on the Effect of Different Time Surgery on Craniocerebral Defects With Hydrocephalus

目的探讨不同时间行颅骨修补术及脑室-腹腔分流术对外伤所致颅脑缺损伴发脑积水的作用研究。方法 2016年5月—2019年5月,对照组39例患者,研究组39例患者,对照组接受先行颅骨修补术,在2个月后再行脑室-腹腔分流术,而研究组患者同时接受颅骨修补术及脑室-腹腔分流术,对比其观察指标:GCS评分、GOS评分、ADL评分、Fugl-Meyer评分。结果手术后6个月,GCS评分、GOS评分、ADL评分、Fugl-Meyer评分,研究组均高于对照组,具有统计学意义(P <0.05)结论外伤所致颅脑缺损伴发脑积水患者,待患者生命体征平稳后,同时行颅骨修补术及脑室-腹腔分流术,能有效的改善患者的日常生活能力,提升预后效果。

Objective To investigate the effects of cranioplasty and ventriculo-peritoneal shunt at different time on craniocerebral defects associated with hydrocephalus caused by trauma. Methods From May 2016 to May 2019,39 patients in the control group, 39 patients in the study group, The control group underwent anterior cranioplasty. The ventriculoperitoneal shunt was performed 2 months later. The patients in the study group underwent cranioplasty and ventriculo-peritoneal shunt, GCS score, GOS score, ADL score, Fugl-Meyer score. Results 6 months after surgery, the GCS score,GOS score, ADL score, and Fugl-Meyer score were higher in the study group than in the control group(P<0.05). Conclusion Patients with craniocerebral defects caused by trauma with hydrocephalus, after the patient’s vital signs are stable, simultaneous cranioplasty and ventriculoperitoneal shunt can effectively improve the patient’s daily living ability and improve the prognosis.