文章摘要
乌拉别克·毛力提,杜伟,刘伟,张诚,杨小朋.脑室-腹腔分流术及颅骨修补术同期治疗颅脑损伤去骨瓣减压术后并交通性脑积水的有效性[J].中国临床保健杂志,2020,23(5):668-671.
脑室-腹腔分流术及颅骨修补术同期治疗颅脑损伤去骨瓣减压术后并交通性脑积水的有效性
The effectiveness of cranioplasty after ventriculoperitoneal shunt in the treatment of communicating hydrocephalus after decompressive craniotomy
投稿时间:2020-02-24  
DOI:10.3969/J.issn.1672-6790.2020.05.022
中文关键词: 脑积水  手术后并发症  脑室腹膜分流术  神经外科手术
英文关键词: Hydrocephalus  Postoperative complications  Ventriculoperitoneal shunt  Neurosurgical procedures 〖FL
基金项目:吴阶平医学基金会临床科研专项(320670528061)
作者单位E-mail
乌拉别克·毛力提 新疆维吾尔自治区人民医院神经外科,乌鲁木齐 830000 wulabieke@126.com 
杜伟 新疆维吾尔自治区人民医院神经外科,乌鲁木齐 830000  
刘伟 新疆维吾尔自治区人民医院神经外科,乌鲁木齐 830000  
张诚 新疆维吾尔自治区人民医院神经外科,乌鲁木齐 830000  
杨小朋 新疆维吾尔自治区人民医院神经外科,乌鲁木齐 830000  
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中文摘要:
      目的 探讨脑室-腹腔分流术后行颅骨修补术治疗颅脑损伤去骨瓣减压术后并交通性脑积水的有效性。方法 选取2018年6月到2019年6月期间我院收治的颅脑损伤去骨瓣减压术后并交通性脑积水患者80例,将患者按照随机数字表法分为两组。对照组40例,行分期手术治疗,先行脑室-腹腔分流术,6个月后在行颅骨修补术;观察组40例患者则同时行脑室-腹腔分流术与颅骨修补术治疗,比较治疗情况。结果 治疗后,比较两组格拉斯哥昏迷量表(GCS)评分、格拉斯哥预后量表(GOS)评分差异均有统计学意义(P<0.05);观察组治疗效果明显高于对照组(P<0.05);与对照组比较,治疗后观察组患者以神经功能缺损程度评分量表(NIHSS)评分明显低于对照组(P<0.05);观察组术后并发症发生率明显低于对照组(P<0.05)。结论 脑室-腹腔分流术及颅骨修补术同期治疗在改善颅脑损伤去骨瓣减压术后并交通性脑积水患者病情中效果理想。
英文摘要:
      Objective To investigate the effectiveness of cranioplasty after ventriculoperitoneal shunt in the treatment of communicating hydrocephalus after decompressive craniotomy.Methods 80 patients with traumatic hydrocephalus after decompressive craniocerebral injury debridement and traffic hydrocephalus treated in our hospital were randomly divided into two groups,40 patients in the control group were treated by stage surgery,and ventriculoperitoneal shunt was performed first.Six months later,they was underwent craniotomy;40 patients in the observation group were treated with ventriculoperitoneal shunt and cranioplasty at the same time;the treatment was compared.Results After treatment,there were statistically significant differences in GCS and GOS scores between the two groups (P<0.05);the treatment effect of the observation group was significantly higher than that of the control group (P<0.05);compared with the control group,the NIHSS score of the observation group was significantly lower than that of the control group (P<0.05);the incidence of postoperative complications in the observation group was significantly lower than that of the control group (P<0.05).Conclusion The simultaneous treatment of ventriculoperitoneal shunt and cranial repair can improve the condition of patients with communicating hydrocephalus after decompressive craniectomy.
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