摘要
Abstract
Objective:To investigate the clinical effect of early skull repair combined with ventriculoperitoneal shunt in the treatment of hydrocephalus after severe traumatic brain injury.Method:A total of 114 patients with hydrocephalus after severe traumatic brain injury admitted in our hospital from February 2015 to October 2017 were selected as the study objects.According to the random number table method, they were divided into observation group (n=57) and control group (n=57).The observation group was treated with early early skull repair combined with ventriculo-peritoneal (V-P) shunt.The patients were treated with craniotomy hematoma clearance and decompression of bone flaps removal after operation within 2 months, V-P shunt and skull repair were performed.The control group was treated with V-P shunt, the skull repair was performed after 3-6 months according to the recovery of the patients. The improvement of hydrocephalus after operation 1 month, prognosis after operation 6 months and complications between the two groups were observed and compared.Result:After operation 1 month, the total effective rate of hydrocephalus improvement in the observation group was significantly higher than that in the control group, the difference was statistically significant (X2=5.684, P=0.017).After operation 6 months, the Glasgow prognosis score (GOS) effective rate of the observation group was significantly higher than that of the control group, the difference was statistically significant (X2=4.293, P=0.038).The incidence of postoperative complications in the observation group was 17.54％ (10/57), which was significantly lower than 54.39％ (31/57) in the control group, the difference was statistically significant (X2=16.797, P=0.001).Conclusion:Early skull repair combined with ventriculo-peritoneal shunt is effective and safe in the treatment of hydrocephalus after severe traumatic brain injury.It is worthy of clinical application.关键词
早期颅骨修补联合脑室-腹腔分流术/重度脑外伤/脑积水Key words
Early skull repair combined with ventriculo-peritoneal shunt/Severe traumatic brain injury/Hydrocephalus
