摘要
目的:探讨同期脑室-腹腔分流术及颅骨修补术在去骨板减压术后癫痫治疗中的效果。方法:回顾性分析2013年1月-2017年12月本院收治的颅脑损伤行去骨瓣减压术后发生癫痫及脑积水患者16例的临床资料。患者均行脑室-腹腔分流及颅骨修补术,比较患者手术前后的脑电图情况及神经功能(FIM评分)。结果:去骨瓣减压术后平均(60.2±16.6)d行脑室-腹腔分流及颅骨修补术;患者术后重度及中重度异常、中度异常患者例数均少于术前,轻度异常患者例数多于术前,比较差异均有统计学意义(P<0.05),且患者术后13例(81.25%)异常EEG得到改善,3例(18.75%)变化不大;患者术前FIM评分低于术后评分(P<0.05),且14例患者术后FIM评分均高于术前。结论:去骨瓣减压术后癫痫合并脑积水的患者同期行脑室-腹腔分流术和颅骨修补术,可以促进脑电图及神经功能恢复,降低癫痫发生率,改善预后。
To investigate the effect of simultaneous ventriculoperitoneal shunt and cranioplasty in the treatment of epilepsy after decompression of bone flap.Method:The clinical data of16craniocerebral injury patients with epilepsy and hydrocephalus after decompression of bone flap from Jan2013to Dec2017were retrospectively analyzed.They underwent ventriculoperitoneal shunt and cranioplasty,the electroencephalogramand neurological function(FIM score)before and after operation were compared.Result:The ventriculoperitoneal shunt and cranioplasty were performed on average(60.2±16.6)d after decompressive craniectomy.The number of patients with severe and moderate or moderate abnormality after operation were less than those of before operation,the number of patients with mild abnormality was more than that of before operation,the difference was statistically significant(P<0.05),and13cases(81.25%)after operation were improved,and3cases(18.75%)had little change.The FIM score before operation was lower than that of after operation(P<0.05),and the FIM scores in14patients were all higher than those of before operation.Conclusion:The patients with epilepsy complicated with hydrocephalus after bone flap decompression are treated with simultaneous ventriculoperitoneal shunt and cranioplasty at the same time,can promote the recovery of EEG and nerve function,reduce the incidence of epilepsy and improve the prognosis.
作者
陈国昌
石小峰
欧阳锡华
周路球
CHEN Guochang;SHI Xiaofeng;OUYANG Xihua(Shenzhen Longgang Central Hospital,Shenzhen 518016,China)
出处
《中国医学创新》
CAS
2018年第24期113-116,共4页
Medical Innovation of China
