早期颅骨修补及脑室腹腔分流在脑外伤治疗中的作用分析

摘要

Objective To investigate the effect of early cranioplasty and ventriculo peritoneal shunt in the treatment of traumatic brain injury.Methods The hospital in 64 cases of patients with traumatic brain injury from June 2012 to June 2013 year as the research object, randomly divided into A, B two groups, 32 cases in each group. The A group underwent early cranioplasty and ventriculoperitoneal shunt, patients in group B ifrst ventriculoperitoneal shunt, 3-6 months after surgery, and then cranioplasty, the therapeutic effect of two groups were compared, analysis.Results Good recovery rate in group A patients was 53.13%, signiifcantly higher than those in B group (31.25%),P<0.05, the difference was statistically signiifcant; prognosis of patients in A group the total effective rate was 75%, 56.25% in B group, the difference was statistically signiifcant (P<0.05).Conclusion Early cranioplasty and ventriculo peritoneal shunt in the treatment of traumatic brain injury, has signiifcant curative effect, it has an important application value.%目的：探讨早期颅骨修补及脑室腹腔分流在脑外伤治疗中的应用效果。方法将本院在2012年6月至2013年6月收治的64例脑外伤患者作为研究对象，随机分为A、B两组，每组32例，A组患者行早期颅骨修补术及脑室腹腔分流术，B组患者先行脑室腹腔分流术，术后3~6个月，再行颅骨修补术，对两组患者的治疗效果进行比较、分析。结果 A组患者的恢复良好率为53.13%，显著高于B组（31.25%）， P<0.05，差异具有统计学意义；A组患者的预后总有效率为75.00%，B组为56.25%，差异具有统计学意义（P<0.05）。结论早期颅骨修补及脑室腹腔分流治疗脑外伤，具有显著的治疗效果，具有重要的推广应用价值。