腹腔分流术对重度颅脑损伤术后脑积水合并硬膜下积液的临床治疗效果观察.docVIP

精品论文 参考文献 腹腔分流术对重度颅脑损伤术后脑积水合并硬膜下积液的临床治疗效果观察 尚大伟 肖国新 刘伟 　　（河北省沧县医院 河北 沧州 061000） 　　【摘要】目的：通过对比分析钻孔引流术和腹腔引流术对重度颅脑损伤术后脑积水合并硬膜下积液的临床治疗效果来寻找更为有效的治疗措施。方法：选择我院2008年4月至2014年9月间神经外科所收治的重度外伤导致开颅实行去骨瓣减压术后脑积水合并硬膜下积液的患者32例为研究对象，对其临床资料进行回顾分析，其中积液量：＜30ml者6例，30～59ml者4例，60～100ml 13例，＞100ml 6例。其中左侧脑室-腹腔分流5例，右侧脑室-腹腔分流17例，单侧钻孔引流9例，双侧钻孔引流1例。结果：出院时行颅脑CT复查可知，脑室-腹腔分流组共22例，积液消失、脑室基本恢复正常者20例，积液变少、症状消失者2例；钻孔引流术组10例，积液消失、脑室基本???复正常者7例，出现拔管后积液复发转脑室-腹腔分流者3例，后积液消失，脑室接近恢复正常。结论：腹腔分流术在重度颅脑损伤术后脑积水合并硬膜下积液的临床治疗中，效果更佳，值得推广。 　　【关键词】腹腔分流术；钻孔分流术；脑积水合并硬膜下积液 　　【中图分类号】R615 【文献标识码】A 【文章编号】2095-1752（2015）05-0079-02 　　Clinical study of abdominal bypass surgery for severe craniocerebral injury postoperative hydrocephalus accompanied subdural effusion Shang Dawei, Xiao Guoxin, Liu Wei. Hebei Cangxian Hospital, Hebei Cangzhou, 061000, China 　　【Abstract】Objective Through the analysis of drilling drainage and abdominal cavity drainage on severe craniocerebral injury postoperative hydrocephalus combined clinical therapeutic effects of subdural effusion to find more effective treatment measures. Methods From April 2008 to September 2014 neurosurgery severe trauma treated by lead to implement to bone flap craniotomy decompression postoperative hydrocephalus subdural effusion combined 32 cases as the research object, to review the clinical data analysis, including effusion quantity: lt; 30 ml of 6 cases, 30 to 59 ml, 4 cases, 13 cases of 60-100 ml, gt; 100 ml 6 cases. Of the left ventricle - peritoneal shunt in 5 cases, the right ventricle - peritoneal shunt of 17 cases, 9 cases of unilateral drilling drainage, double side hole drainage in 1 case. Results Out of the hospital: craniocerebral CT review, ventricle - a total of 22 cases of peritoneal shunt group, of 20 patients with effusion disappeared, intraventricular basic recovery normal less fluid, symptoms disappeared in 2 cases; Group of 10 cases of drilling drainage, effusion disappeared, intraventricular basic recovery is normal in 7 ca