CAJ | 학술논문

目的：研究脑室腹腔分流术（ VPS）联合不同时期颅骨修补对颅脑创伤术后颅骨缺损伴脑积水患者预后的影响。方法选取154例行颅骨修补及VPS的脑外伤患者，根据去骨瓣减压术后颅骨修补联合VPS的时间随机分为早期分流同期修补组（同期组）和早期分流延期修补组（延期组），对比分析两组患者的颅脑损伤手术后的临床效果和并发症。结果同期组患者的GOS评分、GCS评分均优于延期组（ P＜0.05），并发症发生率低于延期组（ P＜0.05）。结论同期行颅骨修补及VPS并发症少，可明显缓解患者意识及神经功能障碍，改善患者预后，值得临床应用推广。
목적：연구뇌실복강분류술（ VPS）연합불동시기로골수보대로뇌창상술후로골결손반뇌적수환자예후적영향。방법선취154례행로골수보급VPS적뇌외상환자，근거거골판감압술후로골수보연합VPS적시간수궤분위조기분류동기수보조（동기조）화조기분류연기수보조（연기조），대비분석량조환자적로뇌손상수술후적림상효과화병발증。결과동기조환자적GOS평분、GCS평분균우우연기조（ P＜0.05），병발증발생솔저우연기조（ P＜0.05）。결론동기행로골수보급VPS병발증소，가명현완해환자의식급신경공능장애，개선환자예후，치득림상응용추엄。
Objective To study the influences of different periods of cranioplasty combined with ventriculo -peritoneal shunt ( VPS) on the prognosis of patients with skull defects after the operation of craniocerebral trauma and hydrocephalus .Methods 154 patients who suffered from brain trauma and were treated with cranioplasty and VPS were retrospecively analyzed .According to the different periods of cranioplasty combined with VPS , the patients were randomly divided into two groups: early shunt combined with cranioplasty group ( the concurrent group ) and early shunt and delayed cranioplasty group ( the delayed group ) .The clinical effects and complications were compared be-tween the two groups after the operation .Results GOS and GCS scores were higher in the concurrent group than those in the delayed group ( P<0.05 ) .The incidence of complications was significantly lower in the concurrent group than that in the delayed group ( P<0.05 ) .Conclusion The treatment of early VPS combined with cranioplasty can markedly relieve the patients′disorders of consciousness and neurological deficits , reduce the complications and im-prove the prognosis .