早期同期手术治疗外伤性颅骨缺损合并脑积水

目的]探讨早期同期行脑室-腹腔分流术(VPS)和颅骨修补术对外伤性颅骨缺损合并脑积水的治疗效果及并发症。方法]回顾对比两组外伤性颅骨缺损合并脑积水的患者,分别分期行VPS和颅骨修补术治疗、早期同期行手术治疗。观察对比两组病例的治疗效果和并发症。结果]两组比较,在治疗效果方面早期同期手术治疗组明显优于分期手术治疗组,两组差异有统计学意义(P﹤0.05);在术后并发症率方面,早期同期手术治疗组在术后硬膜下积液或血肿、脑内血肿及过度分流上明显优于分期手术治疗组,两组差异有统计学意义(P﹤0.05);而在术后感染和切口脑脊液漏方面,两组差异无统计学意义(P﹥0.05)。结论]外伤性颅骨缺损合并脑积水的患者早期同期行VPS和颅骨修补术治疗疗效好、并发症少,可明显缓解患者意识及神经功能障碍,提高患者预后,值得临床进一步推广。

EARLY SURGERY FOR TRAUMATIC CRANIAL DEFECTS COMBINED WITH HYDROCEPHALUS

Objective]To investigate the treatment and complications of traumatic skull defect combined with hydrocephalus which were treated by the concomitant ventriculo-peritoneal shunt(VPS)accompany with skull repair early.Methods]Retrospectively compared the traumatic skull defect incorporate with hydrocephalus patients,one part were treated by VPS and cranioplasty respectively,the other part were cured by VPS and cranioplasty early treatment during the same period.The effectiveness and complications of the two ...