The clinical effect of ventriculoperitoneal shunt and decompression cranioplasty for craniocerebral traumaand its influence on survival
脑室腹腔分流术与去骨瓣减压颅骨修补术治疗颅脑外伤患者的临床效果及对生存情况的影响

摘要

目的 分析颅脑外伤患者实施脑室腹腔分流术与骨瓣减压颅骨修补术治疗的临床疗效以及对患者生存情况的影响。方法 抽取2022年10月-2023年10月期间我院收治的颅脑外伤患者50例，以随机信封法分组，两组患者均接受脑室腹腔分流术和去骨瓣减压颅骨修复术治疗，区别在于，观察组为并行治疗，对照组为分期治疗。对比两组患者术后7d颅内压情况以及严重颅脑外伤残疾评定量表（DRS）评分情况。结果 （1）术后7d，观察组患者颅内压低于术前，且低于对照组（P＜0.05）；（2）术后3个月，观察组患者DRS评分照比术前明显下降，且低于对照组（P＜0.05）。结论 对颅脑外伤患者实现同期脑室腹腔分流术与去骨瓣减压颅骨修补术可显著降低颅内压，并可促进患者术后生存质量提升。

Abstract

Objective To analyze the clinical efficacy of ventriculoperitoneal shunt and cranioplasty with decompression of bone flap in patients with craniocerebral trauma and the impact on the survival of the patients.
Methods Fifty patients with craniocerebral trauma admitted to our hospital from October 2022 to October 2023 were selected and divided into two groups by random envelope method. Both groups received ventriculoperitoneal shunt and craniotomy decompressive cranioplasty. The difference was that the observation group received concurrent treatment, while the control group received staged treatment. The intracranial pressure (ICP) and the score of severe craniocerebral injury Disability Rating Scale (DRS) at 7 days after operation were compared between the two groups.
Results (1) The intracranial pressure of observation group was lower than that of control group 7 days after operation (P < 0.05); (2) Three months after surgery, DRS scores in the observation group were significantly lower than those before surgery, and lower than those in the control group (P < 0.05).
Conclusion   Simultaneous ventriculoperitoneal shunt and craniotomy can significantly reduce intracranial pressure and improve postoperative quality of life in patients with craniocerebral trauma.