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Role of early cranioplasty and ventriculo-peritoneal shunt on the treatment of traumatic brain injury
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- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF NEUROSURGERY
- Issue:
- 7
- DOI:
- 10.3760/j.issn:1001-2346.2007.07.002
- Key Word:
- 颅脑创伤;颅骨修补术;脑室腹腔分流术;脑积水
Abstract： 目的 探讨早期一次性颅骨修补及脑室腹腔分流在脑外伤治疗中的作用.方法 回顾性分析2003年1月至2005年12月同期行颅骨修补及脑室腹腔分流的脑外伤病例34例,对其临床资料、并发症及预后进行总结.结果 本组手术时机均在伤后3个月以内,术后并发分流管阻塞1例,颅内感染2例;术后意识及神经功能障碍不同程度改善30例(88%);恢复良好18例(53%),中残8例(24%),无手术死亡病例.结论 颅脑损伤术后颅骨缺损、脑膨出、脑积水严重影响患者预后,早期并同期行颅骨修补及脑室腹腔分流术并发症少,可明显缓解患者意识及神经功能障碍,提高患者预后,值得临床进一步推广.
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