本文選題：腦積水　切入點(diǎn)：顱骨缺損　出處：《中國醫(yī)藥導(dǎo)報(bào)》2016年35期

【摘要】：目的比較分析腦積水合并顱骨缺損同期手術(shù)與分期手術(shù)的效果。方法選擇2012年2月~2014年1月廣西壯族自治區(qū)江濱醫(yī)院收治的54例腦積水合并顱骨缺損患者,根據(jù)隨機(jī)數(shù)字表法將其隨機(jī)分為同期手術(shù)組(27例)和分期手術(shù)組(27例),同期手術(shù)組同期行腦室-腹腔分流術(shù)和顱骨修補(bǔ)術(shù),分期手術(shù)組在腦室-腹腔分流術(shù)后4周~7個(gè)月后行顱骨修補(bǔ)術(shù),比較兩組患者分流效果、神經(jīng)功能恢復(fù)情況、并發(fā)癥發(fā)生率、生活質(zhì)量、醫(yī)療費(fèi)用、再次手術(shù)情況。結(jié)果兩組分流效果比較差異無統(tǒng)計(jì)學(xué)意義(P0.05);同期手術(shù)組神經(jīng)功能恢復(fù)的優(yōu)良率顯著高于分期手術(shù)組,差異有統(tǒng)計(jì)學(xué)意義(P0.05);同期手術(shù)組并發(fā)癥發(fā)生率為11.11%,分期手術(shù)組為29.63%,兩組比較差異無統(tǒng)計(jì)學(xué)意義(P0.05);同期手術(shù)組健康調(diào)查簡表(SF-36)中的心理健康和總體健康評分均顯著高于分期手術(shù)組(P0.05);同期手術(shù)組的醫(yī)療費(fèi)用顯著低于分期手術(shù)組(P0.05);兩組均有1例患者行再次手術(shù)。結(jié)論雖然同期行腦室-腹腔分流術(shù)和顱骨修補(bǔ)術(shù)在腦積水合并顱骨缺損中的分流效果與分期手術(shù)無異,但它在神經(jīng)功能恢復(fù)、并發(fā)癥、患者心理健康和醫(yī)療費(fèi)用上更具優(yōu)勢,值得臨床優(yōu)先考慮使用。
[Abstract]:Objective to compare and analyze the effect of simultaneous operation and stage operation on hydrocephalus complicated with skull defect.Methods from February 2012 to January 2014, 54 patients with hydrocephalus complicated with skull defect were treated in Jiangbin Hospital of Guangxi Zhuang Autonomous region.According to the method of random number table, the patients were randomly divided into two groups: the simultaneous operation group (n = 27) and the staging operation group (n = 27).The patients in the operation group were treated with cranioplasty 4 weeks to 7 months after the operation. The effect of shunt, the recovery of nerve function, the incidence of complications, the quality of life, the cost of medical treatment, and the re-operation were compared between the two groups.Results there was no significant difference in shunt effect between the two groups (P 0.05), and the excellent and good rate of nerve function recovery in the operation group was significantly higher than that in the stage operation group.The incidence of complications in the operation group was 11.1111 and 29.63 in the operation group. There was no significant difference between the two groups (P 0.05). The scores of mental health and overall health were significant in SF-36.The medical cost of the operation group was significantly lower than that of the stage operation group (P 0.05), and one patient in both groups underwent reoperation.Conclusion although the effect of ventricle-celiac shunt and cranioplasty in patients with hydrocephalus complicated with skull defect is no different from that of staging surgery, it has more advantages in the recovery of neurological function, complications, mental health and medical expenses of patients with hydrocephalus.It is worthy of clinical priority.
【作者單位】： 廣西壯族自治區(qū)江濱醫(yī)院神經(jīng)外科;
【分類號】：R651.1

【相似文獻(xiàn)】

相關(guān)期刊論文 前10條

1 李毅;王虎;梁曉軍;潘文杰;;分期手術(shù)治療嚴(yán)重開放性踝關(guān)節(jié)骨折的療效觀察[J];中國骨與關(guān)節(jié)損傷雜志;2014年02期

2 齊志勇;張治平;呼和牧仁;孫兆義;王文娟;谷艷玲;田學(xué)玲;鄂曉清;;多平面分期手術(shù)治療重度阻塞性睡眠呼吸暫停低通氣綜合征臨床觀察[J];現(xiàn)代中西醫(yī)結(jié)合雜志;2013年06期

3 羅志軍;陳慶軍;龍如超;;應(yīng)用慶大霉素珠鏈分期手術(shù)治療骨折后感染[J];中國高等醫(yī)學(xué)教育;2010年06期

4 邵佳;陳清漢;馬希峰;來秋山;張明生;任強(qiáng);張仲寧;朱宇;;重度頸椎后縱韌帶骨化癥分期手術(shù)治療效果[J];中華實(shí)用診斷與治療雜志;2012年03期

5 岑瑛,嚴(yán)小蓉,劉曉雪,于蓉,趙景華,許學(xué)文;嚴(yán)重頦胸瘢痕粘連分期手術(shù)73例[J];中國修復(fù)重建外科雜志;1998年04期

6 彭易坤;胡德峰;代喻兵;馬祖霞;王樹輝;熊彥;;多平面分期手術(shù)對重度阻塞性睡眠呼吸暫停低通氣綜合征合并代謝綜合征患者的影響[J];中國耳鼻咽喉顱底外科雜志;2014年02期

7 彭易坤;胡德峰;楊秀海;李德宏;;多平面分期手術(shù)治療重度阻塞性睡眠呼吸暫停低通氣綜合征的臨床療效探討[J];實(shí)用臨床醫(yī)藥雜志;2011年13期

8 肖清明;王勇;李冬春;胡擁;;分期手術(shù)結(jié)合固本消痰湯治療晚期髖關(guān)節(jié)結(jié)核11例[J];湖南中醫(yī)藥大學(xué)學(xué)報(bào);2012年11期

9 周東;林樹體;楊葉鋒;;34例復(fù)雜閉合Pilon骨折分期手術(shù)治療的臨床效果[J];右江民族醫(yī)學(xué)院學(xué)報(bào);2013年03期

10 茍成毅;孫天明;張長勝;;分期手術(shù)治療尿道下裂72例報(bào)告[J];現(xiàn)代泌尿外科雜志;2008年03期

相關(guān)碩士學(xué)位論文 前1條

1 淡明江;分期手術(shù)在尿道下裂中的再認(rèn)識[D];廣州醫(yī)學(xué)院;2012年

，

本文編號：1707740