早期颅骨修补与脑室腹腔分流运用于脑外伤治疗的疗效观察

Early cranial repair and intraperitoneal shunt are used in the treatment of cerebral trauma

目的:分析早期应用颅骨修补术及脑室腹腔分流术治疗脑外伤的疗效。方法:选取我院收治的56例脑外伤后行开颅去骨瓣减压术治疗后,并发脑积水的患者作为研究对象,按照颅骨修补术操作时间的不同将患者分为实验组和对照组,每组28例,其中实验组于早期便实施颅骨修补术及脑室腹腔分流术治疗,对照组则先采用脑室腹腔分流术治疗,待患者好转后,于3-6个月后择期行颅骨修补术治疗,比较两组患者恢复情况。结果:实验组患者的恢复优良率(92.86%)明显高于对照组患者的恢复优良率(75.00%),组间数据差异显著,P<0.05,有统计学意义。结论:早期应用颅骨修补术及脑室腹腔分流术治疗脑外伤的患者有效提高了治疗效果,有助于改善患者预后,值得临床推广。

Objective:To analyse the early application of surgical repair of skull and ventricle peritoneal shunt curative effect for the treatment of traumatic brain injuries.Methods:Our hospital the 56 cases of traumatic brain injuries to bone flap craniotomy decompression after treatment,the concurrent hydrocephalus patients as the research object,according to the repair of skull operation time of different patients can be divided into the experimental group and control group,each group of 28 cases,in which the experimental group in early repair of skull and ventricle peritoneal shunt treatment,control group were treated by ventricle peritoneal shunt first,after waiting for patients to improve,in 3 to 6 months after undergoing elective surgical repair of skull treatment,compared two groups of patients’ recovery.Result:The recovery of the experimental group patients was significantly higher than the control group(92.86%)of the patient’s recovery was(75.00%),data significant difference between groups,P<0.05,with statistical significance.Conclusion:Early application of surgical repair of skull and ventricle peritoneal shunt in the treatment of traumatic brain injuries patients effectively improve the treatment effect,help to improve the prognosis of patients,worth clinical promotion.