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脑室腹腔分流加颅骨缺损修补术治疗颅骨缺损合并脑积水 被引量:18

Ventriculo-peritoneal shunt and cranioplasty for patients with skull defect combined with hydrocephalus after neurosurgery for craniocerebal injury
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摘要 目的探讨脑室腹腔分流加颅骨缺损修补术治疗颅脑损伤术后颅骨缺损合并脑积水的效果。方法2009年10月至2014年7月在河南省西峡县人民医院应用不同的治疗方式治疗颅骨缺损合并脑积水患者54例,根据治疗方式的不同将患者分为治疗组28例和对照组26例,统计2组患者的住院时间和住院费用,观察2组患者的并发症及治疗效果,并对数据进行统计学分析。结果治疗组患者较对照组住院时间短、住院费用低(P<0.05);治疗组患者并发症发生率低于对照组,治疗有效率高于对照组(P<0.05)。结论颅骨缺损伴脑积水患者同时行脑室腹腔分流及颅骨缺损修补术是一种安全可靠、经济有效的治疗办法,值得在临床推广应用。 Objective To explore the clinical effect of ventriculo-peritoneal shunt and cranioplasty for patients with skull defect combined with hydrocephalus after neurosurgery for craniocerebal injury.Methods A total of 54 patients with skull defect combined with hydrocephalus after neurosurgery,admitted to People's Hospital of Xixia County of Henan Province from October 2009 to July 2014,were divided into the treatment group(28 cases) and the control group(26 cases) according to the different therapy.Hospital stays and the total hospitalization expenses,postoperative complications and therapeutic effect of two groups were compared.Results In the treatment group,the hospital stays was shoter,the total hospitalization expenses and the rate of postoperative complications were lower,the effective rate was higher than those in control group(P 〈0.05).Conclusion Ventriculo-peritoneal shunt and cranioplasty is a safe and reliable,economic therapy for patients with skull defect combined with hydrocephalus after neurosurgery for craniocerebal injury.
出处 《新乡医学院学报》 CAS 2015年第1期57-58,61,共3页 Journal of Xinxiang Medical University
关键词 颅脑创伤 颅骨缺损修补术 脑室腹腔分流术 脑积水 craniocerebral injury cranioplasty ventriculo-peritoneal shunt hydrocephalus
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