摘要
目的评价早期颅骨修补、脑室腹腔分流在脑外伤治疗中的应用价值。方法选取本院2017年2月至2018年6月期间收治的88例脑外伤患者,遵循患者入院尾号的奇偶数,将所有患者分为A组、B组,两组均为44例。两组均应用早期颅骨修补和脑室腹腔分流治疗,B组在脑室腹腔分流治疗后3个月,再进行颅骨修补治疗,A组在早期即实行颅骨修补治疗,比较两组患者的临床效果。结果两组治疗总有效率、并发症发生率比较差异均具有统计学意义(P<0.05)。治疗后,A组神经功能缺损评分低于B组,差异具有统计学意义(P<0.05)。结论脑外伤治疗中,采用早期颅骨修补+脑室腹腔分流治疗,能确保临床效果和安全,并可改善患者的神经缺损情况,值得在脑外伤治疗中应用和推广。
Objective To evaluate the value of early cranioplasty and ventriculoperitoneal shunt in the treatment of brain trauma.Methods 88 patients with brain trauma admitted to our hospital from February 2017 to June 2018 were divided into group A and group B according to the odd and even number of patients'admission tail number,with 44 cases in each group.Both groups were treated with early cranioplasty and ventriculoperitoneal shunt.Group B received cranioplasty three months after ventriculoperitoneal shunt treatment.Group A received cranioplasty at early stage.The clinical effects of the two groups were compared.Results The total effective rate and the incidence of complications of the two groups were significantly different(P<0.05).After treatment,the score of neurological deficit in group A was lower than that in group B,the difference was statistically significant(P<0.05).Conclusion Early cranioplasty plus ventriculoperitoneal shunt in the treatment of brain trauma can ensure the clinical effect and safety,and improve the neurological deficits of patients.It is worthy of application and promotion in the treatment of brain trauma.
作者
周椿昊
Zhou Chunhao(Department of Neurosurgery,Ganzhou People' s Hospital,Ganzhou,Jiangxi,341000,China)
出处
《当代医学》
2019年第19期89-91,共3页
Contemporary Medicine
关键词
早期颅骨修补
脑室腹腔分流
脑外伤
治疗效果
Early skull repair
Ventriculoperitoneal shunt
Brain trauma
Therapeutic effect
