doi:10.19854/j.cnki.1008-2425.2024.04.0009

Abstract

摘要： 目的探讨手术后颅骨缺损合并脑积水的治疗策略。方法回顾分析2021年10月至2023年12月我组收治的23例颅骨缺损合并脑积水患者的临床资料。减压术后2月左右按期给予二次颅骨修补术,其中6例骨窗脑组织明显膨出,同期行颅骨修补+脑室腹腔分流术;其中8例骨窗脑组织轻微膨出,同期行颅骨修补+Ommaya囊植入术,术后观察评估,有2例患者进一步行脑室腹腔分流术;其中9例患者骨窗头皮凹陷,或间断膨出,只行颅骨修补术。结果术后3个月随访,日常生活能力量表好转15例,稳定8例,头颅CT示脑室大小形态稳定,脑沟脑回形态正常,无脑积水相关症状,治疗效果理想。结论颅骨缺损合并脑积水患者,可采取恰当的手术治疗策略,如期颅骨修补术,有利于神经功能恢复,在去骨瓣减压术后并发脑积水的治疗中有一定的临床意义。

关键词: 颅骨缺损, 脑积水, 颅骨修补, 脑室腹腔分流术

CLC Number:

R651

张宏兵, 刘帅, 马德, 高林涛, 闫兴尧, 祁飞, 苏宝艳. 手术后颅骨缺损合并脑积水23例临床分析[J]. 立体定向和功能性神经外科杂志, 2024, 37(4): 243-245.

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手术后颅骨缺损合并脑积水23例临床分析

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