早期颅骨修补联合脑室腹腔分流治疗脑外伤36例临床分析

苟继敏

（杨凌示范区医院，陕西 咸阳，712100）

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摘要：

目的 探究早期颅骨修补联合脑室腹腔分流治疗脑外伤的临床效果。方法 选择2013年6月至2016年6月来我院就诊的30例脑外伤患者为研究对象，将所有患者随机分为观察组和对照组，各15例。观察组实施早期颅骨修补联合脑室腹腔分流术治疗，对照组首先实施脑室腹腔分流术，3~6个月后再进行颅骨修补术。手术结束后，对比两组患者预后优良率。结果 观察组患者预后优秀11例，良好3例，差1 例，预后优良率为93.33%，对照组患者预后优秀5例，良好4例，差6例，预后优良率为60.00%，观察组预后优良率明显高于对照组（P<0.05），其中对照组预后差者内有3例患者死亡，而观察组无死亡病 例。结论 对于脑外伤患者，使用早期颅骨修补联合脑室腹腔分流治疗，可显著改善患者神经与意识障碍，提升患者生活质量，减少患者的家庭负担，值得临床推广及使用。

关键词：早期颅骨修补联合脑室腹腔分流术；脑室腹腔分流术；脑外伤

中图分类号：R742.7文献标志码：A文章编号：2096-1413(2017)12-0043-02

Clinical analysis of 36 cases with traumatic brain injury treated by early repair of traumatic skull combined with ventricle peritoneal shunt
GOU Ji-min
(Yangling Model District Hospital, Xianyang 712100, China)

ABSTRACT: Objective To explore the clinical effect of early repair of traumatic skull combined with ventricle peritoneal shunt in the treatment of traumatic brain injury. Methods Thirty cases of patients with traumatic brain injury in our hospital from June 2013 to June 2016 were selected as the research objects, which were randomly divided into observation group and control group, with 15 cases in each group. The observation group was treated with early repair of traumatic skull combined with ventricle peritoneal shunt, while the control group was treated with ventricle peritoneal shunt until 3 ~6 months later with cranioplasty. After operation, the prognosis of the two groups were compared. Results There were 11 cases excellent, 3 cases good, 1 case poor in the observation group, and the excellent and good rate of the observation group was 93.33%. There were 5 cases excellent, 4 cases good, 6 cases poor in the control group, and the excellent and good rate of the control group was 60.00%. The excellent and good rate of the observation group was significantly higher than that of the control group (P<0.05). There were 3 cases died in the control group, but no death case in the observation group. Conclusion For patients with traumatic brain injury, the early repair of traumatic skull combined with ventricle peritoneal shunt can significantly improve the neurological and mental disorders, improve the quality of life of patients, reduce the burden on their families, which is worth popularization and application in clinical.
KEYWORDS: early repair of traumatic skull combined with ventricle peritoneal shunt; ventricle peritoneal shunt; brain injury

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