[1]杨　帆.早期颅骨成形术对颅脑损伤术后脑积水的影响[J].中国临床神经外科杂志,2018,(03):165-167.[doi:10.13798/j.issn.1009-153X.2018.03.008]
　YANG Fan..Effects of early cranioplasty on hydrocephalus patients with craniocerebral injury after decomprssive craniotomy[J].,2018,(03):165-167.[doi:10.13798/j.issn.1009-153X.2018.03.008]
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早期颅骨成形术对颅脑损伤术后脑积水的影响()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
期数:
2018年03期
页码:
165-167
栏目:
论著
出版日期:
2018-04-01

文章信息/Info

Title:
Effects of early cranioplasty on hydrocephalus patients with craniocerebral injury after decomprssive craniotomy
文章编号:
1009-153X（2018）03-0165-03
作者:
杨　帆
作者单位：476100 河南，商丘市第一人民医院神经外科（杨　帆）
Author(s):
YANG Fan.
Department of Neurosurgery, Shangqiu Municipal First People’s Hospital, Shangqiu 476100, China
关键词:
颅脑损伤; 去骨板减压术; 颅骨成形术; 脑积水; 预后
Keywords:
Brain injury;  Skull defect;  Cranioplasty;  Opportunity;  Hydrocephalus;  Prognosis
分类号:
R 742.7; R 651.1+1
DOI:
10.13798/j.issn.1009-153X.2018.03.008
文献标志码:
A
摘要:
目的 探讨早期颅骨成形术对颅脑损伤术后脑积水的影响。方法 回顾性分析2014年1月~2016年4月收治的108例颅脑损伤术后脑积水的临床资料，术后1~3个月行颅骨成形术54例（早期组），术后3~6个月行颅骨成形术54例（晚期组）。结果 两组术后3个月KPS评分较术前明显增高（P<0.05），而且早期组明显高于晚期组（P<0.05）。两组术后3个月GOS评分较术前明显增高（P>0.05），而且早期组明显高于晚期组（P<0.05）。两组术后3个月第三脑室、第四脑室、双侧侧脑室体积较术前均显著改善（P<0.05），而且早期组明显优于晚期组（P<0.05）。早期组并发症总发生率（7.4%，4/54）明显低于晚期组（33.3%，18/54；P<0.05）。结论 与晚期颅骨成形术相比，早期颅骨成形术可以有效改善颅脑损伤去骨板减压术后并发的脑积水，减少颅骨成形术并发症，从而改善病人预后。
Abstract:
Objective To investigate the effects of cranioplasty on hydrocephalus in patients with craniocerebral injury after the decompressive craniotomy. Methods One hundred and eight craniocerebral injury patients with hydrocephalus after decompressive craniotomy, who were treated in our hospital from January, 2014 to April, 2014 in our hospital, were randomly divided into early cranioplasty group in which 54 patients underwent cranioplasty 1~3 months after the decompressive craniotomy and late cranioplasty group in which 54 patients underwent cranioplasty 3~6 months after the decompressive craniotomy. Karnofsky performance status (KPS), the changes in the volumes of the ventricles 3 and 4 were determined 3 months after the cranioplasty and GOS was determined 3 and 12 months after the cranioplasty respectively in all the patients. Results The scores of KPS and GOS were significantly higher 3 months after the cranioplasty than those before the cranioplasty in both the groups (P<0.05). The scores of KPS and GOS were significantly higher in the early group than those in the late group 3 months after the cranioplasty (P<0.05). The improvements of ventricles 3 and 4 volumes were significantly better in the early cranioplasty group respectively than those in the late group 3 months after the cranioplasty (P<0.05). The rate of good prognosis and effective rate of the prognosis were significantly higher in the early cranioplasty group respectively than those in the late group 12 months after the cranioplasty (P<0.05). The rate of occurrence of postoperative complications was significantly lower in the early cranioplasty group than those in the late group 12 months after the cranioplasty (P<0.05). Conclusion The early cranioplasty after the decompressive craniotomy is more helpful to improvement of the prognoses and decreasing the postoperative complications than the late cranioplasty in the patients with craniocerebral injury.

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更新日期/Last Update: 2018-05-05