CAJ | 학술논문

目的：探讨早期颅骨修补联合脑室腹腔分流术治疗脑外伤患者的临床效果。方法将本院收治的55例颅脑外伤去骨瓣减压术后并发脑积水患者分为两组，观察组27例，在开颅血肿清除术后3个月左右同期行颅骨修补联合脑室腹腔分流术；对照组28例，早期行脑室腹腔分流术，3~6个月后再行颅骨修补术，比较两组的临床疗效及术后并发症发生率。结果观察组的致残率为37.03%，明显低于对照组的64.29%，差异有统计学意义(P<0.05)；两组的恢复良好比较差异有统计学意义(P<0.05)；两组的植物状态与死亡比较差异无统计学意义(P>0.05)。观察组的术后积液及血肿发生率低于对照组，差异有统计学意义(P<0.05)；两组的术后感染、分流过度和分流管阻塞比较差异无统计学意义(P>0.05)。结论早期颅骨修补联合脑室腹腔分流术能明显促进患者神经系统功能恢复，提高患者的生活质量，且有助于减少并发症的发生。
목적：탐토조기로골수보연합뇌실복강분류술치료뇌외상환자적림상효과。방법장본원수치적55례로뇌외상거골판감압술후병발뇌적수환자분위량조，관찰조27례，재개로혈종청제술후3개월좌우동기행로골수보연합뇌실복강분류술；대조조28례，조기행뇌실복강분류술，3~6개월후재행로골수보술，비교량조적림상료효급술후병발증발생솔。결과관찰조적치잔솔위37.03%，명현저우대조조적64.29%，차이유통계학의의(P<0.05)；량조적회복량호비교차이유통계학의의(P<0.05)；량조적식물상태여사망비교차이무통계학의의(P>0.05)。관찰조적술후적액급혈종발생솔저우대조조，차이유통계학의의(P<0.05)；량조적술후감염、분류과도화분류관조새비교차이무통계학의의(P>0.05)。결론조기로골수보연합뇌실복강분류술능명현촉진환자신경계통공능회복，제고환자적생활질량，차유조우감소병발증적발생。
Objective To investigate clinical effect of early repair of traumatic skull combined with ventricle peritoneal shunt in the treatment of patients with traumatic brain injury. Methods 55 cases of patients with the decompressive craniectomy and hydrocephalus were divided into two groups.The repair of traumatic skull combined with ventricle peritoneal shunt after decompressive craniectomy 3 months were used in observation group (27 cases).Ventriculo-peri-toneal shunt first after decompressive craniectomy and cranioplasty after 3-6 months were used in control group (28 cases).The clinical efficacy and incidence rate of complication in two groups was compared respectively. Results Dis-ability rate in observation group was 37.03%,significantly lower than that in control group (64.29%),with statistical dif-ference(P<0.05).Good recovery in two groups was compared,with statistical difference(P<0.05).The plant state and death in two groups was compared,with no statistical difference (P>0.05).The incidence rate of postoperative seroma and hematoma in observation group was lower than that in control group,with statistical difference(P<0.05).Postoperative in-fection,shunt excessive and shunt tube obstruction in two groups was compared respectively,with no statistical difference (P>0.05). Conclusion Early repair of traumatic skull combined with ventricle peritoneal shunt can obviously promote the function recovery in patients with nervous system,improve the quality of life of patients,and help to reduce the oc-currence of complication.