摘要
目的 探讨早期颅骨修补术联合脑室腹腔分流术治疗颅脑外伤的临床效果.方法 选取我院2007年3月至2015年8月收治的76例脑外伤患者作为研究对象,随机分为观察组和对照组,各38例.对照组患者应用早期脑室腹腔分流术方法治疗,3~6个月后给予颅骨修复术进行治疗,观察组患者实施早期脑室腹腔分流术联合同期颅骨修补术进行治疗,比较两组患者治疗效果、格拉斯哥昏迷指数评分（Glasgow Coma Score,GCS）及并发症发生情况.结果 观察组患者手术治疗后的GCS评分明显高于对照组（P〈0.05）;观察组治疗后总有效率明显高于对照组（P〈0.05）;观察组并发症总发生率明显低于对照组（P〈0.05）.结论 早期脑室腹腔分流术联合同期颅骨修补术治疗脑外伤效果显著,可改善患者临床症状,减少术后并发症,值得临床应用.
Objective To investigate the clinical effect of early cranioplasty combined with ventriculoperitoneal shunt in the treatment of patients with traumatic brain injury. Methods From March 2015 to August 2017, 76 cases of patients with traumatic brain injury in our hospital were selected as the research objects and randomly divided into observation group and control group, with 38 cases in each group. The patients in the control group were treated with early ventriculoperitoneal shunt, and then after 3 to 6 months, they were treated with cranioplasty; the patients in the observation group were given ear- ly cranioplasty combined with ventriculoperitoneal shunt the curative effect, Glasgow outcome score （GOS） and complications were compared between the two groups. Results After treatment, the GCS score of the observation was significantly higher than that of the control group （P〈0.05）; the total efficiency of the observation group was significantly higher than that of the control group （P〈0.05）; the complication rate of the observation group was significantly lower than that of the control group （P〈0.05）. Conclusion Early ventriculoperitoneal shunt combined with cranioplasty in the treatment of patients with traumatic brain injury has significant effect, it can significantly improve patients＇ clinical symptoms, reduce the complications after surgery, which is worthy of clinical application.
出处
《临床研究》
2017年第5期69-70,共2页
Clinical Research
关键词
脑外伤
早期脑室腹腔分流术
颅骨修补术
traumatic brain injury
early ventriculopcritoneal shunt
cranioplasty
GOS
