CAJ | 학술논문

目的：：探讨早期颅骨修补与脑室腹腔分流治疗脑外伤的效果。方法：回顾性分析2009年1月至2014年12月普宁市华侨医院收治的17例脑外伤患者的临床资料，早期同时行颅骨修补与脑室腹腔分流进行治疗。结果：手术时间在伤后3至4个月以内，术后并发分流管堵塞1例，意识及神经能障碍得到不同度改善，无手术死亡病例。结论：颅脑伤损伤术后颅骨缺损、脑膨出、脑积水严重影响患者预后，早期同时行颅骨补与脑室腹腔分流并发症少，有利于患者意识及神经功能障碍的恢复。
목적：：탐토조기로골수보여뇌실복강분류치료뇌외상적효과。방법：회고성분석2009년1월지2014년12월보저시화교의원수치적17례뇌외상환자적림상자료，조기동시행로골수보여뇌실복강분류진행치료。결과：수술시간재상후3지4개월이내，술후병발분류관도새1례，의식급신경능장애득도불동도개선，무수술사망병례。결론：로뇌상손상술후로골결손、뇌팽출、뇌적수엄중영향환자예후，조기동시행로골보여뇌실복강분류병발증소，유리우환자의식급신경공능장애적회복。
Objective:To investigate the effect of cranioplasty and ventriculoperitoneal shunt for early treatment of traumatic brain injury. Methods: The clinical data of 17 patients with traumatic brain injury hospitalized in Puning Overseas Chinese Hospital between January 2009 and December 2014 were retrospectively analyzed. All patients underwent cranioplasty and ventriculoperitoneal shunt for early treatment of traumatic brain injury. Results:At 3 to 4 months after the treatment, 1 case with obstruction of the shunt, different degrees of improvement of consciousness and nerve dysfunction, and no operation death case were found. Conclusion:Skull defect, encephalocele, and hydrocephalus after the treatment of traumatic brain injury significantly influence the prognosis of patients. Cranioplasty and ventriculoperitoneal shunt for early treatment of traumatic brain injury show less complications, which favor the recovery of consciousness and nerve dysfunction for patients.