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目的:对早期颅骨修补在脑外伤治疗中的疗效进行分析。方法:选取144例需要进行接受脑室腹腔分流术和颅骨修补术治疗的患者为研究对象,依据接受颅骨修补术的早晚将其分为A(72例,早期脑室腹腔分流术联合2个月内颅骨修补术)、B(72例,分流术2个月后再行颅骨修补术)两组。结果:两组患者在术中均没有死亡病例发生,而A组与B组对比,各项疗效指标均有显著性差异(P<0.05),且A组无感染、分流管堵塞等情况;B组4例感染、2例分流管堵塞,经比较,差异显著(χ~2=7.897,P<0.05)。结论:颅脑损伤术后(2个月内)早期颅骨修补术疗效显著,并发症少,可考虑推广应用。
Objective: To analyze the effect of early skull repair in traumatic brain injury. Methods: One hundred and forty-four patients who underwent intraperitoneal peritoneal shunt and skull repair were enrolled in this study. Patients were divided into two groups according to the time they received craniotomy: A (72 cases, early intracerebroventricular shunt combined with intracranial skull Repair), B (72 cases, shunt surgery 2 months after skull repair) two groups. Results: There were no deaths in both groups during operation, but there were significant differences in efficacy between group A and group B (P <0.05), and there was no infection in group A and blockage of shunt. 4 cases were infected and 2 cases were blocked by shunt. The difference was significant (χ ~ 2 = 7.897, P <0.05). Conclusion: The craniocerebral injury repair is effective in the early stage of craniocerebral injury (less than 2 months), with fewer complications and can be considered for promotion and application.