CAJ | 학술논문

　　目的比较不同手术时期颅骨修补与脑室腹腔分流手术对于脑外伤患者的临床治疗效果。方法将64例颅脑外伤患者随机分为试验组和对照组，试验组患者在开颅血肿清除术后3个月左右同时行早期颅骨修补与脑室腹腔分流术，对照组患者先行脑室腹腔分流术，3～6个月后再行颅骨修补术。比较两组患者治疗前后的GCS评分、术后并发症发生情况及远期预后情况。结果两组患者治疗后GCS评分均显著升高（P<0.05），试验组术后GCS评分显著高于对照组。试验组预后良好率及存活率显著高于对照组（P<0.05）。而并发症的发生率无显著差异（P>0.05）。结论对于脑积水合并颅骨缺损的脑外伤患者，应行早期颅骨修补及脑室腹腔分流术，能显著降低患者的病死率，值得临床进一步推广。
　　목적비교불동수술시기로골수보여뇌실복강분류수술대우뇌외상환자적림상치료효과。방법장64례로뇌외상환자수궤분위시험조화대조조，시험조환자재개로혈종청제술후3개월좌우동시행조기로골수보여뇌실복강분류술，대조조환자선행뇌실복강분류술，3～6개월후재행로골수보술。비교량조환자치료전후적GCS평분、술후병발증발생정황급원기예후정황。결과량조환자치료후GCS평분균현저승고（P<0.05），시험조술후GCS평분현저고우대조조。시험조예후량호솔급존활솔현저고우대조조（P<0.05）。이병발증적발생솔무현저차이（P>0.05）。결론대우뇌적수합병로골결손적뇌외상환자，응행조기로골수보급뇌실복강분류술，능현저강저환자적병사솔，치득림상진일보추엄。
Objective To compare clinical effect of cranioplasty and ventriculoperitoneal shunt surgery for patients with traumatic brain injury on different surgical period. Methods 64 patients with traumatic brain injury in our hospital were randomly divided into the experimental group and the control group. The experimental group patients were given early cranioplasty and ventriculo-peritoneal shunt at the same time 3 months after hematoma evacuation,while the control group patients were given ventricle peritoneal shunt ifrst and the line cranioplasty after 3 to 6 months. GCS score, the incidence of postoperative complications and long-term prognosis of the two groups were compared. Results After treatment, the GCS score was signiifcantly higher (P<0.05), postoperative GCS of the experimental group score was signiifcantly higher than the control group. The good prognosis rate and survival rate of the experimental group was signiifcantly higher than those of the control group (P<0.05). There was no signiifcant difference in incidence of complications (P>0.05). Conclusion Early cranioplasty and ventriculo-peritoneal shunt for hydrocephalus merger skull defects in patients with traumatic brain injury can signiifcantly reduce the mortality of patients, which is worthy of further promotion.