早期颅骨修补与脑室腹腔分流应用在脑外伤治疗中临床效果.docVIP

早期颅骨修补与脑室腹腔分流应用在脑外伤治疗中临床效果 　　摘要：目的 探讨早期颅骨修补与脑室腹腔分流应用在脑外伤治疗中的临床效果。方法 2012年3月～2015年11月间，我院收治了66例颅骨缺损并发脑积水患者，将其作为研究对象，医护人员根据患者采用的治疗方案将其分为甲组与乙组，所有患者均采用开颅血肿清除术治疗，甲组33例患者早期先实施脑室腹腔分流治疗，5个月后实施颅骨修补术；乙组33例患者在首次术后3个月同时实施早期颅骨修补与脑室腹腔分流，比较两种治疗方案的临床效果。结果 乙组患者残疾率比甲组患者低，P0.05；除过度分流，两组患者在分流管阻塞、感染、脑积液等并发症发生率方面，P0.05。结论 针对脑外伤患者，在早期给予早期颅骨修补与脑室腹腔分流治疗，能够降低术后并发症发生风险，改善患者预后情况，值得借鉴。 　　关键词：早期颅骨修补；脑室腹腔分流；脑外伤；临床效果 　　Abstract：Objective To explore the clinical effect of early skull repair and intraventricular laparoscopic bypass in the treatment of traumatic brain injury.Methods From March 2012 to November 2015，66 patients with skull defects complicated with hydrocephalus were enrolled in this study.The patients were divided into group A and group B according to the treatment plan adopted by the patients.All patients were treated with craniotomy and hematoma evacuation.33 cases in group A patients early after the implementation of ventriculoperitoneal shunt in the treatment，5 months after the implementation of cranioplasty.Group B of 33 patients in the first 3 months after the implementation of early skull repair and ventriculoperitoneal shunt，compare the clinical efficacy of the two treatment programs.Results The disability rate of group B was lower than that of group A，P0.05.In addition to over-shunt，the incidence of complications such as shunt obstruction，infection and cerebral hemorrhage was between the two group，P0.05.Conclusion In the early stage，the treatment of early cranial repair and intraventricular sullary drainage can reduce the risk of postoperative complications and improve the prognosis of patients with traumatic brain injury. 　　Key words：Early skull repair；Ventriculoperitoneal shunt；Brain trauma；Clinical effect 　　?X外伤在临床上属于一种常见的神经外科疾病，患者的临床症状为头痛、意识模糊、昏迷、脉搏缓慢等，如果医护人员不及时给予患者有效的治疗措施，很有可能引发弥漫性脑损伤[1-2]。近几年，我国交通业、建筑业发展迅速，导致脑外伤的发生率不断上升，这给患者的生命安全造成较大的威胁[3-4]。临床治疗脑外伤多采用手术疗法，为了观察早期颅骨修补与脑室腹腔分流术在脑外伤患者治疗中的效果，本次选取我院收治的66例颅骨缺损并发脑积水患者进行观察，具体报道如下。 　　1资料与方法 　　1.1一般资料 本次研究对象为我院2012年3月～2015年