创伤性脑积水患者经脑室腹腔分流术治疗的临床疗效

Clinical effect of ventriculoperitoneal shunt in the treatment of traumatic hydrocephalus

目的 探讨创伤性脑积水患者经脑室腹腔分流术治疗的临床疗效。方法 回顾性分析2018年1月至2020年1月于本院收治的90例创伤性脑损伤后脑积水患者的临床资料,根据脑积水程度的不同分为轻度组、中度组及重度组,每组30例。3组均行脑室腹腔分流术治疗,比较3组临床疗效、并发症发生情况、治疗前后神经功能缺损程度。结果 轻度组总有效率(96.67%)高于中度组(80.00%)、重度组(53.33%),中度组高于重度组,差异有统计学意义(P<0.05)。轻度组并发症发生率低于中、重度组,中度组低于重度组,差异有统计学意义(P<0.05)。治疗前,3组NIHSS评分比较差异无统计意义;治疗后,轻度组NIHSS评分低于中度组、重度组,中度组低于重度组,差异有统计学意义(P<0.05)。结论 采取脑室腹腔分流术临床疗效显著,有效改善创伤性脑损伤患者后脑积水,且随着脑积水程度减轻,其手术效果更佳,可降低并发症发生率,改善神经功能缺损程度,临床应用价值较高。

Objective To explore the clinical effect of ventriculoperitoneal shunt in the treatment of traumatic hydrocephalus.Method The clinical data of 90 patients with hydrocephalus after traumatic brain injury admitted to our hospital from January 2018 to January 2020 were retrospectively analyzed,and they were divided into mild group,moderate group and severe group according to the degree of hydrocephalus,30 cases in each group.Three groups were treated by ventriculoperitoneal shunt,the clinical effects,complications,and the degree of nerve function defect before and after treament were compared.Results The total effective rate of mild group(96.67%) was higher than that of moderate group(80.00%) and severe group(53.33%),and the of moderate group was higher than the of severe group(P<0.05).The incidence of complications in mild group was lower than the in moderate and severe group,and that in moderate group was lower than the in severe group(P<0.05).After treatment,the NIHSS scores of mild group were lower than those of moderate group,severe group,and moderate group were lower than those of severe group(P<0.05).Conclusion The clinical effect of shunt is remarkable,which can effectively improve the hydrocephalus of the patients with traumatic brain injury.With the decrease of the degree of Hydrocephalus,the operative effect is better,the complication rate is lower,the degree of neurological function defect is improved,and the clinical application value is high.