CAJ | 학술논문

[目的]探讨影响重型颅脑损伤患者行开颅去骨瓣减压术后并发脑积水临床疗效的相关因素.[方法]选取2008年1月至2012年1月我院重型颅脑损伤行开颅去骨瓣减压术后并发脑积水的45例患者作为研究对象,回顾性分析所有患者的临床及影像学表现.[结果]GCS评分高、第三脑室扩大直径≥1 cm和侧脑室额角明显渗出的患者分流效果明显好；与侧脑室重度扩大患者相比,侧脑室轻、中度患者分流效果无明显好转(P＜0.05).[结论]GCS评分高、第三脑室扩大直径≥1 cm及侧脑室额角明显渗出是分流手术的适应症.
[목적]탐토영향중형로뇌손상환자행개로거골판감압술후병발뇌적수림상료효적상관인소.[방법]선취2008년1월지2012년1월아원중형로뇌손상행개로거골판감압술후병발뇌적수적45례환자작위연구대상,회고성분석소유환자적림상급영상학표현.[결과]GCS평분고、제삼뇌실확대직경≥1 cm화측뇌실액각명현삼출적환자분류효과명현호；여측뇌실중도확대환자상비,측뇌실경、중도환자분류효과무명현호전(P＜0.05).[결론]GCS평분고、제삼뇌실확대직경≥1 cm급측뇌실액각명현삼출시분류수술적괄응증.
[Objective]To study the relative factors affecting curative effect in severe brain trauma patients complicated with hydrocephalus.Method A total of 45 cases of severe brain trauma patients complicated with hydrocephalus were enrolled into this study.Clinical and imaging data of all the subjects were retrospectively analyzed.[Results]Ventriculoperitoneal shunt performed on patients with high GCS score,the longest diameter of the third ventricle ≧ 1cm and obvious exudates of the lateral ventricle forehand had a good result.Compared with severe expansion of the lateral ventricle,the effect of ventriculoperitoneal shunt performed on patients with light and middle expansion of the lateral ventricle did not significantly improve.[Conclusion]The indications of ventriculoperitoneal shunt are high GCS score,the longest diameter of the third ventricle ≧ 1cm and obvious exudates of the lateral ventricle forehand.