重型脑外伤术后脑积水疗效与相关因素分析

目的]探讨影响重型颅脑损伤患者行开颅去骨瓣减压术后并发脑积水临床疗效的相关因素.方法]选取2008年1月至2012年1月我院重型颅脑损伤行开颅去骨瓣减压术后并发脑积水的45例患者作为研究对象,回顾性分析所有患者的临床及影像学表现.结果]GCS评分高、第三脑室扩大直径≥1 cm和侧脑室额角明显渗出的患者分流效果明显好；与侧脑室重度扩大患者相比,侧脑室轻、中度患者分流效果无明显好转(P＜0.05).结论]GCS评分高、第三脑室扩大直径≥1 cm及侧脑室额角明显渗出是分流手术的适应症.

Analysis on relative factors affecting curative effect in severe brain trauma patients complicated with hydrocephalus

Objective To study the relative factors affecting curative effect in severe brain trauma patients complicated with hydrocephalus. Method A total of 45 cases of severe brain trauma patients complicated with hydrocephalus were enrolled into this study. Clinical and imaging data of all the subjects were retrospectively analyzed. Results Ventriculoperitoneal shunt performed on patients with high GCS score, the longest diameter of the third ventricle ≥1cm and obvious exudates of the lateral ventricle forehand had a good result. Compared with severe expansion of the lateral ventricle, the effect of ventriculoperitoneal shunt performed on patients with light and middle expansion of the lateral ventricle did not significantly improve. Conclusion The indications of ventriculoperitoneal shunt are high GCS score, the longest diameter of the third ventricle≥1cm and obvious exudates of the lateral ventricle forehand.