脑室-腹腔分流术和颅骨修补术同期治疗与分期治疗对于脑外伤伴脑积水的效果对比

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Abstract ObjectiveTo observe the different effects of homochronous and staging operative treatment of ventricularperitoneal shunt and skull repair for traumatic brain injury with hydrocephalus.MethodsSixty-two patients with traumatic brain injury and hydronephrosis admitted to our hospital from January 2013 to June 2017 were selected as the research objects,and divided into the same period group（35cases） and the staging group　（27cases） according to the time interval between ventriculoperitoneal shunt and skull repair,and the same period group was conducted with two kinds of operations at the same time.The staging group was treated with ventriculoperitoneal shunt first，and then cranioplasty was performed after interval of 1-3 months.The daily life ability(Barther index),limb movement function(Fugl-Meyer index),Glasgow coma index(GCS),clinical efficacy and complication rate of the two groups were compared before and after treatment.ResultsThere was no significant difference in Bart her index，fugl-Meyer index and GCS index between the two groups before treatment(P>0.05).Barther index，Fugl-Meyer index and GCS index of the two groups increased significantly after treatment，and the rising amplitude of the same period group was significantly larger than that of the staging group，and GOS index of the same period group was higher than that of the staging group，with statistically significant difference　(P<0.05).The excellent and good rate of treatment in the same period group was significantly higher than that in the stage group，and the difference was statistically significant(P<0.05).There were 5 patients with complications in the same period and 10 patients with complications in the staging group,and the complication rate of 14.29%in the same period was significantly lower than that of 37.04%in the staging group,the difference was statistically significant(χ2=4.302;P=0.038).ConclusionHomochronous ventricular-peritoneal shunt and skull repair has a better curative effect and prognosis than staging surgery，it has the advantages of fast recovery，less postoperative complications.

Key words： Brain trauma with hydrocephaly Ventriculoperitoneal shunt Skull repair Homochronous Stage surgery Curative effect

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	Articles by authors
	WU Sheng-qing
	ZENG Zhen-kun
	LI Jing-dong
	WU Hai-qing
	HUANG Wei

Cite this article:

WU Sheng-qing,　ZENG Zhen-kun,　LI Jing-dong, et al. Com parison of the effects of ventriculoperitoneal shunt and cranioplasty in the treatment of cerebral trauma w ith hydrocephalus[J]. 中国当代医药, 2018, 25(17): 56-58.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2018/V25/I17/56

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