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脑外伤并发脑积水患者应用脑室-腹腔分流手术治疗的效果研究_论文

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窑 外科研究 窑 DOI院10.19368/j.cnki.2096-1782.2018.02.088 系统医学 2018 年 1 月第 3 卷第 2 期 脑外伤并发脑积水患者应用脑室 - 腹腔分流手术 治疗的效果研究 侯成智 1袁王乙 1袁梁前垒 2袁张淑艳 1 1.吉林省人民医院神经外科袁吉林长春 130021曰2.吉林大学中日联谊医院神经外科袁吉林长春 130031 [摘要] 目的 分析脑外伤并发脑积水患者应用脑室-腹腔分流手术治疗的效果遥 方法 随机选取该院 2014 年 2 月要2017 年 5 月期间收治的 56 例脑外伤并发脑积水患者袁根据脑积水严重程度袁分为 2 组袁一组为轻中度组渊37 例冤袁一组为重度组渊19 例冤袁2 组患者均行脑室-腹腔分流手术袁观察并比较临床疗效遥 结果 比较临床疗效袁轻中 度组 21 例显效袁14 例有效袁2 例无效袁总有效率为 94.5%渊35/37冤袁重度组 8 例显效袁6 例有效袁5 例无效袁总有效率 为 73.6%渊14/19冤袁比较 2 组结果袁通过数据分析显示袁差异有统计学意义渊字2=16.291袁P=0.000冤遥 比较 GCS 评分尧V/ BP 值和脑室周围水肿带直径袁轻中度组术前与术后 3 个月差异有统计学意义渊t=4.060尧15.102尧4.838袁P<0.05冤袁改 善明显袁而重度组袁有所改善袁但术后 3 个月与术前比较差异无统计学意义渊t=0.706尧1.328尧0.602袁P>0.05冤遥 结论 脑外伤并发脑积水袁实施脑室-腹腔分流手术袁疗效显著袁有效改善临床症状遥 相比重度脑积水袁轻中度脑积水疗 效更明显袁因此袁尽早治疗脑外伤合并脑积水袁对改善预后效果袁具有积极意义遥 [关键词] 脑外伤曰脑积水曰脑室-腹腔分流手术曰临床疗效 [中图分类号] R651 [文献标识码] A [文章编号] 2096-1782渊圆园员8冤01渊b冤原园088-04 Research on Effect of Ventriculoperitoneal Shunt Surgery in Treatment of Patients with Brain Trauma Combined with Hydrocephalus HOU Cheng-zhi1, W A NG Y i1, LIA NG Qian-lei2, ZHA NG Shu-yan1 1.Department of Neurosurgery, Jilin Provincial People爷s Hospital, Changchun, Jilin Province, 130021 China曰2.Depart鄄 ment of Neurosurgery, Sino Japanese Friendship Hospital of Jilin University, Changchun,Jilin Province袁130031 China [Abstract] Objective To analyze the effect of ventriculoperitoneal shunt surgery in treatment of patients with brain trauma combined with hydrocephalus. Methods 56 cases of patients with brain trauma combined with hydrocephalus admitted and treated in our hospital from February 2014 to May 2017 were randomly selected and divided into two groups, including the mild and middle group with 37 cases, and severe group with 19 cases, and both groups were treated with brain trauma combined with hydrocephalus, and the clinical curative effect was observed and compared. Results In terms of clinical curative effect, in the mild and middle group, 21 cases were markedly effective, 14 cases were effective, and 2 cases were ineffective, and the total effective rate was 94.5%(35/37), in the severe group, 8 cases were markedly effective, 6 cases were effective and 5 cases were ineffective, and the total effective rate was 73.6%(14/ 19), and the results were compared between the two groups, and the data analysis showed that the difference was obvi鄄 ous, with statistical significance (字2=16.291,P=0.000), and the differences in the GCS score, V/BP value and periven鄄 tricular edematous diameter in the mild and middle group before surgery and


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