脑室-腹腔分流术治疗外伤性脑积水的预后分析

目的 探讨影响脑室-腹腔分流(V-P)术治疗外伤性脑积水(PTH)的预后因素.方法 回顾性分析51例PTH行V-P术患者的临床资料,总结手术效果与格拉斯哥预后评分(GOS)、患者年龄、颅内压(ICP)等的关系.结果 33例V-P术前GOS 2分和3分患者术后6个月22例COS有进步,18例术前GOS4分患者术后6个月只有6例有进步.V-P术前的GOS与手术效果明显相关.GOS 3分及以下患者的预后较GOS 4分患者的预后好(P<0.05).COS提高患者与未提高患者年龄差异无统计学意义(P>0.05).术前ICP对手术效果无影响(P>0.05).结论 V-P术可以改善PTH患者的预后,术前的COS可以作为V-P术效果的预测指标.

Outcome after ventriculoperitoneal shunt for post-traumatic hydrocephalus

Objective To investigate the outcome after ventriculoperitoneal (V-P)shunt for post-traumatic hydrocephalus (PTH). Methods A retrospective study investigated the outcome of 51 patients after head injury, who had undergone V-P shunt due to PTH.The Glasgow outcome scale (GOS),age and intracerebral pressure(ICP) were analyzed. Results Twenty-two of 33 patients with COS 3 or less than 3 scores had clear-cut benefit from V-P shunt,while only 6 of 18 patients with GOS 4 scores did.Tbe GOS before V-P shunt had correlated with the GOS 6 months after operation. The patients with GOS 3 or less than 3 scores had good outcome than patients with COS 4 scores (P<0.05). Patients' age and ICP before the V-P shunt did not influence the outcome (P>0.05 ). Conclusion V-P shunt has much benefit for the patients with PTH, GOS before operation is a best predictive parameter for outcome after V-P shunt.