脑积水合并颅骨缺损个体化手术方案的临床研究。
A Clinical Study on Individualized Surgical Scheme of Hydrocephalus Complicated With Skull Defect.
机构信息
Department of Neurosurgery, Beijing Boai Hospital, China Rehabilitation Research Centre.
College of Rehabilitation, Capital Medical University.
出版信息
J Craniofac Surg. 2021 Oct 1;32(7):2435-2440. doi: 10.1097/SCS.0000000000007571.
OBJECTIVE
This study intends to discuss the individualized selection of surgical scheme of hydrocephalus complicated with skull defect.
METHODS
A total of 141 patients with hydrocephalus complicated with skull defect in our hospital from January 2012 to December 2018 were the main subjects of this study. Among these 141 patients, 78 patients underwent shunt and skull repair surgery in our hospital. In the present study, according to the classification of bone window tension, and combined with factors that affect the operation, different surgical schemes were selected, namely, repair surgery in the first phase and shunt surgery in the second phase, or simultaneous surgery, or shunt surgery in the first phase and repair surgery in the second phase.
RESULTS
The results of the present study show that an individualized surgical scheme can allow for the operation of hydrocephalus complicated with skull defect, without increasing the risk of complications, such as shunt infection, epidural hematoma, etc.
CONCLUSIONS
The surgical scheme for hydrocephalus complicated with skull defect differs in clinic.
目的
本研究旨在探讨脑积水合并颅骨缺损患者的个体化手术方案选择。
方法
选取我院 2012 年 1 月至 2018 年 12 月收治的 141 例脑积水合并颅骨缺损患者作为研究对象。其中 78 例患者在我院行分流术联合颅骨修补术，本研究根据骨窗张力分类，结合影响手术的因素，选择不同的手术方案，即一期修补术联合二期分流术、同期手术或一期分流术联合二期修补术。
结果
本研究结果表明，个体化手术方案能够使脑积水合并颅骨缺损患者的手术顺利进行，且不会增加分流感染、硬膜外血肿等并发症的风险。
结论
脑积水合并颅骨缺损的手术方案存在差异。
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