CAJ | 학술논문

目的：对采用脑室-腹腔分流手术治疗脑外伤并发脑积水的临床疗效进行观察与评价。方法选取2010年1月—2014年8月该院收治的60例脑外伤并发脑积水患者为研究对象，将60例患者分为轻中度脑积水组(42例)及重度脑积水组(18例)，对所有患者行脑室-腹腔分流手术，观察临床疗效并进行组间比较。结果42例轻中度脑积水组患者中显效24例，有效14例，有效率为95.2%；18例重度轻脑积水组患者中显效6例，有效4例，有效率为55.6%，两组总有效率为83.3%。组间比较轻中度脑积水组的治疗有效率高于重度脑积水组，差异具有统计学意义(P<0.05)。轻中度脑积水组患者术后3个月与术前相比GCS评分显著增高，V/BP值及脑室周围水肿带直径均显著降低(P<0.05)，重度脑积水组患者的上述各项指标则与术前相比未见明显变化(P>0.05)。结论对于脑外伤并发脑积水患者采取脑室-腹腔分流手术疗效显著，对于改善患者预后具有积极意义。轻中度外伤性脑积水行脑室-腹腔分流术的效果较重度脑积水患者更佳，因此临床上对脑外伤性脑积水患者应及早发现并予以有效治疗。
목적：대채용뇌실-복강분류수술치료뇌외상병발뇌적수적림상료효진행관찰여평개。방법선취2010년1월—2014년8월해원수치적60례뇌외상병발뇌적수환자위연구대상，장60례환자분위경중도뇌적수조(42례)급중도뇌적수조(18례)，대소유환자행뇌실-복강분류수술，관찰림상료효병진행조간비교。결과42례경중도뇌적수조환자중현효24례，유효14례，유효솔위95.2%；18례중도경뇌적수조환자중현효6례，유효4례，유효솔위55.6%，량조총유효솔위83.3%。조간비교경중도뇌적수조적치료유효솔고우중도뇌적수조，차이구유통계학의의(P<0.05)。경중도뇌적수조환자술후3개월여술전상비GCS평분현저증고，V/BP치급뇌실주위수종대직경균현저강저(P<0.05)，중도뇌적수조환자적상술각항지표칙여술전상비미견명현변화(P>0.05)。결론대우뇌외상병발뇌적수환자채취뇌실-복강분류수술료효현저，대우개선환자예후구유적겁의의。경중도외상성뇌적수행뇌실-복강분류술적효과교중도뇌적수환자경가，인차림상상대뇌외상성뇌적수환자응급조발현병여이유효치료。
Objective To observe and evaluate the clinical curative effect of using ventriculo peritoneal shunt operation for treatment of traumatic brain injury complicated with hydrocephalus. Methods 60 cases of cerebral trauma complicated with hydrocephalus patients were selected as the research object in our hospital from January,2010 to August,2014. 60 patients were divided into mild to moderate hydrocephalus group (42 cases) and severe hydrocephalus group (18 cases), all patients received ventricu-loperitoneal shunt operation, clinical observation and comparison were among the groups. Results 42 patients with mild to moderate hydrocephalus in patients had markedly 24 cases, effective of 14 cases, the effective rate was 95.2%; 18 cases of severe hydro-cephalus in patients with mild markedly 6 cases, effective 4 cases, effective rate was 55.6%, the total efficiency of two groups of 83.3%. The treatment group comparison of mild to moderate hydrocephalus group the effective rate is higher than the severe hy-drocephalus group, with statistically significant difference (P <0.05). Mild to moderate hydrocephalus group of patients after 3 months compared with the preoperative GCS score significantly increased, V/BP value and periventricular edema zone diameter were significantly decreased (P<0.05), severe hydrocephalus patients above indexes were compared with those before operation showed no significant changes (P >0.05). Conclusion The cerebral trauma complicated with hydrocephalus ventriculoperitoneal shunt surgery patients to take a significant effect, it is of positive significance for improving the prognosis of the patients. Mild and moderate traumatic hydrocephalus with ventriculo peritoneal shunt effect of severe hydrocephalus patients better, therefore clinically on cerebral traumatic hydrocephalus patients should be early discovered and to be effective in the treatment.