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腰大池腹腔分流术治疗创伤后脑积水临床疗效观察(PDF)

《创伤外科杂志》[ISSN:/CN:]

期数:
2020年08期
页码:
596-599
栏目:
短篇论著
出版日期:
2020-08-20

文章信息/Info

Title:
Observational study on the clinical outcomes of patients with post-traumatic hydrocephalus treated by lumboperitoneal shunt
文章编号:
1009-4237(2020)08-0596-04
作者:
周学斌; 袁轶凯; 孙 彤; 周义成; 关俊文
610041 成都,四川大学华西医院神经外科
Author(s):
ZHOU Xue-bin; YUAN Yi-kai; SUN Tong; ZHOU Yi-cheng; GUAN Jun-wen
Department of Neurosurgery,West China Hospital of Sichuan University,Chengdu 610041,China
关键词:
创伤后脑积水;  腰大池;  脑室;  腹腔分流术;  并发症
分类号:
R 651.1+5
DOI:
10.3969j.issn.1009-4237.2020.08.009
文献标识码:
A
摘要:
目的 研究腰大池腹腔分流术(LPS)治疗创伤后脑积水(PTH)的临床疗效。方法 回顾性分析2016年1月—2018年12月四川大学华西医院神经外科收治的创伤后脑积水患者172例,男性116例,女性56例; 年龄24～73岁,平均51.2岁。按照手术方式不同分为腰大池腹腔分流术组(LPS组,83例)与脑室腹腔分流组(VPS组,89例),LPS组男性57例,女性26例; 年龄24～69岁,平均50.7岁,GCS评分(9.7±3.7)分,ISS评分(21.7±4.5)分,APACHE II评分(16.8±2.9)分,Evans指数(0.364±0.083)分。VPS组男性59例,女性30例; 年龄29～73岁,平均51.6岁,GCS评分(9.8±2.4)分,ISS评分(22.7±4.2)分,APACHE II评分(15.8±3.6)分,Evans指数(0.345±0.076)分。对两组患者临床资料、临床疗效指标、并发症发生情况和预后指标进行统计学分析。结果 VPS组并发症19例(21.3%)多于LPS组7例(8.4%),差异有统计学意义(P<0.05)。LPS组症状改善分数(3.820±1.092)分高于VPS组(2.960±0.793)分(P<0.01)。VPS组脑室Evans指数(0.338±0.030)分高于LPS组(0.278±0.036)分(P<0.01)。VPS组改良RANKIN量表(2.980±1.413)分高于LPS组(1.980±1.104)分(P<0.01)。LPS组GOS评分(3.780±1.213)分高于VPS组(2.100±1.085)分(P<0.01)。结论 LPS可能是治疗PTH的一种更为有效的手术方法,并发症较少,预后可能更好。

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备注/Memo

备注/Memo:
【基金项目】 四川省科技厅支撑计划(2015SZ0193)
【通信作者】 关俊文,E-mail:guanjunwen_scu@outlook.com
更新日期/Last Update: 2020-08-20