颅骨缺损合并脑积水的同期手术治疗

目的探讨颅骨缺损合并脑积水患者同期手术治疗的疗效及并发症,提高治愈率,降低致残率.方法12例颅骨缺损合并脑积水患者均于颅骨修补同时,以骨窗附近为入点行同侧侧脑室-腹腔分流术,修补额部时穿刺侧脑室前角,修补颞部时穿刺侧脑室三角区,最后行颅骨修补术.结果全组无感染病例;头皮下积液发生率为16.7%,均经治疗后痊愈;常压性脑积水患者术前均有小便失禁或夜尿多,术后症状改善或消失;随访5～12个月,均无明显颅内高压症状出现,原有脑室扩大者均有不同程度缩小.结论颅骨缺损合并脑积水患者同期手术效果良好,降低并发症发病率,减轻患者的经济负担.

Same Phase Operation for Skull Defect and Hydrocephalus

Objective: To detect the therapeutic effect and complication of same phase operation for skull defects and hydrocephalus. Methods: 12 patients with skull defects and hydrocephalus were all operated. We exposed skull window of defects, stabbed lateral ventricle from the enter point near skull window, took lateral ventricle abdominal cavity shunting and restored the skull defects. Results: No infection occurred in this group. Fluid under scalp occurred in 2 cases (16.7% of all) and all disappeared after therapy. Urine incontinence or more nocturia were puzzled patients with normal pressure hydrocephalus, and cured after operation. All patients were followed observing for 5-12 months, and had no symptom of intracranial hypertension. Conclusion: The same phase operation for skull defects and hydrocephalus had better effect and could decrease complication and lighten economic burden.