临床神经外科杂志2013，Vol.10Issue(4)：193-195,3.DOI:10.3969/j.issn.1672-7770.2013.04.001
重型颅脑损伤术后脑积水颅骨缺损同期治疗研究
Study on treatment of postoperative hydrocephalus and skull defect following severe craniocerebral injury
刘建民 1张荣伟 1袁绍纪 1刘子生 1孙希炎1
作者信息
- 1. 250031济南,中国人民解放军济南军区总医院神经外科
- 折叠
摘要
Abstract
Objective To evaluate the effect of early single-stage synchronous ventriculoperitoneal shunt(VPS) and cranioplasty for the patients with postoperative skull defect and hydrocephalus following severe craniocerebral injury.Methods The 53 patients with postoperative skull defect and hydrocephalus following severe craniocerebral injury operation were divided into two groups,including 36 cases(group A) underwent early synchronous operation and 17 cases(group B)underwent two-stage operations.Results There were no significant differences in the underdrainage or scalp infection between the two groups,but the rates of curative effect were significantly higher and the occurrent rates of shunt infection were significantly lower in group A than those in group B.Conclusion Adoption of early single-stage ventriculoperitoneal shunt and cranioplasty has a significantly better curative effect than two-stage operations,and can decrease the occurrent rates of shunt infection,so it is an effective,economical and practical therapeutic means to the patients with postoperative skull defect and hydrocephalus following severe craniocerebral injury.关键词
重型颅脑损伤/颅骨缺损/脑积水Key words
severe craniocerebral injury/skull defect/hydrocephalus分类
医药卫生引用本文复制引用
刘建民,张荣伟,袁绍纪,刘子生,孙希炎..重型颅脑损伤术后脑积水颅骨缺损同期治疗研究[J].临床神经外科杂志,2013,10(4):193-195,3.
