颅骨缺损并脑积水的外科联合手术方案研究

Study on Combined Surgery Plan for Skull Defect and Hydrocephalus

目的探讨颅骨缺损并脑积水治疗应用外科联合手术方案的临床效果。方法方便选取2017年1月-2020年1月内蒙古科技大学第一附属医院收治的68例颅骨缺损并脑积水患者作为研究对象,根据治疗方法分为研究组(34例)和对照组(34例)。对照组接受脑室-腹腔分流术后3~6个月进行颅骨修补手术治疗,研究组接受脑室-腹腔分流联合颅骨修补手术治疗。比较两组患者的临床疗效及术后并发症的发生情况。结果研究组总有效率为97.06%,对照组总有效率为70.59%,相较于对照组,研究组总有效率明显更高,差异有统计学意义(χ^(2)=8.785,P<0.05);研究组术后并发症发生率为8.82%,对照组术后并发症发生率为47.06%,研究组术后并发症发生率明显更低,差异有统计学意义(χ^(2)=11.968,P<0.05)。结论颅骨缺损并脑积水治疗应用外科联合手术方案临床疗效显著,且术后并发症发生率较低,值得临床推广应用。

Objective To investigate the clinical effect of combined surgery on skull defect and hydrocephalus.Methods A total of 68 patients with skull defects and hydrocephalus were conveniently selected to the First Affiliated Hospital of Inner Mongolia University of Science and Technology from January 2017 to January 2020 were included as the research objects.According to the treatment methods,they were divided into study group(34 cases)and control group(34 cases).The control group received ventricular-abdominal shunt surgery for 3 to 6 months after skull repair,and the study group received ventricular-abdominal shunt combined with skull repair surgery.The clinical efficacy and postoperative complications of the two groups were compared.Results The total effective rate of the study group was 97.06%,and the total effective rate of the control group was 70.59%.Compared with the control group,the total effective rate of the study group was significantly higher,and the difference was statistically significant(χ^(2)=8.785,P<0.05);The postoperative complication rate in the study group was 8.82%,and the postoperative complication rate in the control group was 47.06%.The postoperative complication rate in the study group was significantly lower,and the difference was statistically significant(χ^(2)=11.968,P<0.05).Conclusion The clinical effect of combined surgery for skull defect and hydrocephalus treatment is significant,and the incidence of postoperative complications is low,which is worthy of clinical application.