脑室腹腔分流手术治疗创伤性脑损伤后不同程度脑积水的临床疗效分析

摘要

目的：探讨脑室腹腔分流手术治疗创伤性脑损伤后不同程度脑积水的临床疗效。方法：收治创伤性脑损伤后脑积水患者2000例，根据患者不同程度脑积水分为轻度组、中度组与重度组，观察3组患者脑室腹腔分流术后的临床疗效与并发症情况。结果：轻度组总有效率95.9%，中度组总有效率83.0%，重度组总有效率33.1%，轻度组总有效率显著高于中度与重度组(P＜0.01)；而中度组的有效率也显著高于重度组(P＜0.01)。重度组并发症发生率显著高于轻度与中度组(P＜0.01)。结论：及早地对创伤性脑损伤后脑积水患者进行病情发展之前的脑室腹腔分流手术治疗，能够有效地改善病情，促进患者的恢复。%Objective:To explore the clinical effect of shunt operation of cerebral ventricle and abdominal cavity for treatment of different degrees of hydrocephalus after traumatic brain injury.Methods:2 000 patients with hydrocephalus after traumatic brain injury were selected.According to patients with different degrees of hydrocephalus,they were divided into the mild group,the moderate group and the severe group.We observed the clinical efficacy and complications of the three groups.Results:In the mild group,the total effective rate was 95.9%;in the moderate group,the total effective rate was 83.0%;in the severe group,the total efficiency was 33.1%.In the mild group,the total efficiency was significantly higher than that in the moderate group and severe group(P<0.01);the effective rate of the moderate group was also significantly higher than that in the severe group(P<0.01);the complication rate in severe group was significantly higher than that in the mild group and the moderate group(P<0.01). Conclusion:To carry out early shunt operation of cerebral ventricle and abdominal cavity for the patients with hydrocephalus after traumatic brain injury can effectively improve the disease and promote the recovery of patients.