颅脑损伤后同期颅骨修补及脑室-腹腔分流术的治疗体会

目的研究颅脑损伤后颅骨修补及脑室-腹腔分流术治疗体会。方法收集整理2006年1月～2010年3月本院收治的符合条件（颅脑损伤后颅骨缺损合并脑积水）的38例患者的临床资料,要求所有患者都有明确的致伤史和影像诊断。所有的患者都采用相同的手术方法（同期颅骨修补、脑室-腹腔分流术）。结果所有患者手术都获得成功,手术中没有出现死亡的现象,手术结束后8～14d时进行拆线,平均拆线时间为11d。手术结束2周时复查颅部CT发现,患者颅骨修补都固定牢固,脑室没有发现扩大的现象。结论颅脑缺损并发脑积水患者同期行颅骨修补术和脑室-腹腔分流术是一种有效可行的治疗方法,值得在临床推广。

Treatment experience on ventriculoperitoneal shunt and cranioplasty for brain trauma

Objective To study the treatment experience of earlier cranioplasty and ventricle peritoneal shunt after head injury. Methods The clinical data of 38 patients（head injury cranial defects after merger hydrocephalus） between January 2006 and March 2010 were collected, all patients had clear injury history and imaging diagnosis. All patients were given the same surgical method （skull repair, ventricle-the same period abdominal bypass surgery）. Results All surgical treatment were successful, no phenomenon of death appeared in surgery, stitch ripper when generally 8-14 day after the end of surgery, average stitch ripper time was 11 days. cranial CT review after two weeks found that patients with skull patches were firmly fixed, and no enlargement of ventricles. Conclusion Brain defect hydrocephalus patients with concomitant cranioplasty and ventriculo-peritoneal shunt is an effective and practicable treatment methods, it is worthy of replication in clinic.