CAJ | 학술논문

目的：探讨腰大池‐腹腔分流术对颅脑外伤后脑积水患者的应用效果。方法将48例颅脑外伤合并脑积水患者随机分为观察组和对照组，每组24例，观察组采用腰大池‐腹腔分流术治疗，对照组采用侧脑室‐腹腔分流术治疗，比较两组临床效果及并发症发生率。结果观察组总有效率为95．8％，对照组为75．0％，观察组总有效率显著高于对照组（χ2＝4．18，P＜0．05）；观察组术后并发症发生率为12．5％，对照组为37．5％，观察组显著低于对照组（χ2＝4．00，P＜0．05）。结论腰大池‐腹腔分流术治疗颅脑外伤后脑积水疗效显著，并发症发生率低，有利于提高患者的生存质量，值得临床推广应用。
목적：탐토요대지‐복강분류술대로뇌외상후뇌적수환자적응용효과。방법장48례로뇌외상합병뇌적수환자수궤분위관찰조화대조조，매조24례，관찰조채용요대지‐복강분류술치료，대조조채용측뇌실‐복강분류술치료，비교량조림상효과급병발증발생솔。결과관찰조총유효솔위95．8％，대조조위75．0％，관찰조총유효솔현저고우대조조（χ2＝4．18，P＜0．05）；관찰조술후병발증발생솔위12．5％，대조조위37．5％，관찰조현저저우대조조（χ2＝4．00，P＜0．05）。결론요대지‐복강분류술치료로뇌외상후뇌적수료효현저，병발증발생솔저，유리우제고환자적생존질량，치득림상추엄응용。
Objective To explore the Application of lumbar‐peritoneal shunt in hydrocephalus following craniocerebral trauma .Methods Forty‐eight aniocerebral trauma patients with hydrocephalus were ran‐domly divided into observation and control group of 24 ones each ,observation group received lumbar‐peri‐toneal shunt and control did ventricle‐peritoneal shunt ,clinical effects and the incidence of complication were compared between two groups .Results The total effective rate was respectively 95 .83% in obser‐vation and 75 .0% in control group ,the former significantly higher than the latter (χ2 =4 .18 ,P<0 .05);the incidence of post‐operation complications was respectively 12 .5% in observation and 37 .5% in control group ,the former significantly lower than the latter (χ2 =4 .00 ,P<0 .05) .Conclusion Lumbar‐perito‐neal shunt has an evident effect and lower incidence of complication in the treatment of hydrocephalus fol‐lowing craniocerebral trauma ,is beneficial to the improvement of patients’ quality of life ,and deserves clinical generalization and application .