早期颅骨修补及脑室腹腔分流在脑外伤治疗中的作用

目的探讨脑外伤采用早期颅骨修补及联合脑室腹腔分流救治的效果。方法本次研究选择的对象共60例，均为我院2009年2月～2012年2月收治的脑外伤合并颅骨缺损及脑积水的患者，按观察组和对照组各60例划分，对照组先行脑室腹腔分流术，颅骨修补在术后3-6个月再行操作；观察组在早期行颅骨修补，并实施脑室腹腔分流术，回顾两组临床资料。结果观察组预后优良率为96．7％，对照组为60％，观察组总优良率显著高于对照组，差异有统计学意义（P〈0．05）。结论脑外伤治疗中采用脑室腹腔分流的同时实施早期颅骨修补术，可显著提高临床效果．改善患者生存质量。

Early repair of skull defect and ventriculoperitoneal shunt in the treatment of traumatic brain injury in rats

Objective To investigate the brain injury by early cranioplasty and combined with ventriculoperitoneal shunt treatment effects. Methods This study selected a total of 60 cases in our hospital in 2009, are from February to 2012 February were cerebral trauma combined with skull defect and hydrocephalus patients, according to the observa- tion group and the control group with 60 cases in each group division, the control group first ventriculoperitoneal shunt, cranioplasty after surgery in 3-6 months before operation; the observation group in the early repair of skull, and the implementation of a ventriculoperitoneal shunt, retrospective clinical data in the two groups. Results In ,the obser- vation group, prognosis is excellent and good rate was 96.7%, 60% in the control group, the observation group excel- lent and good rate was significantly higher than that of control group, the difference was statistically significant （P 〈 0.05）. Conclusion Brain trauma treated by ventriculoperitoneal shunt and implementation of early cranioplasty, can signifi- cantly improve the clinical effect, improve life quality of the patients.