中华神经创伤外科电子杂志Issue(4)：16-20,5.DOI:10.3877/cma.j.issn.2095-9141.2015.04.005
探讨重型颅脑创伤去骨瓣减压术后脑积水的治疗方案
Discussion on the treatment programs of hydrocephalus after decompressive craniectomy of severe traumatic brain injury
摘要
Abstract
Objective To investigating the different surgical plans for patients with hydrocephalus after decompressive craniectomy of severe traumatic brain injury. Methods The clinical data of 89 patients with severe traumatic brain injury underwent craniotomy to bone flap decompression combined with post- traumatic hydrocephalus after trauma were retrospectively analyzed. Four groups were difined according to the different operation mode : group of early ventriculo-peritoneal shunt (VPS) +cranioplasty seventeen cases; group delay extension of ventriculo peritoneal shunt (VPS) + skull neoplasty in twenty-two cases; first VPS for cranioplasty group thirty-one cases (VPS), first skull repair surgery again VPS group nineteen cases (after VPS group). Results Early group, group delay, first VPS group and after VPS group treatment efficiency was 88.2% , 86.4%, 90.3% and 89.5%,respectively. The differences between any two groups show no statistical significance (P>0.05);and the complications of the three groups in shunt tube plugging rate.关键词
重型颅脑创伤/创伤后脑积水/颅骨修补术/硬膜下积液/手术方案Key words
Severe traumatic brain injury/Post-traumatic hydrocephalus/Cranioplasty/Subdural collection of fluid/Surgical options引用本文复制引用
葛云飞,张赛,胡群亮,蒋显峰,高培龙,张民,令狐海瑞,王伟,薄寅,周星..探讨重型颅脑创伤去骨瓣减压术后脑积水的治疗方案[J].中华神经创伤外科电子杂志,2015,(4):16-20,5.基金项目
武警后勤学院附属医院种子基金项目(FYM201547) （FYM201547）
