[1]郭永坤,王新军,单峤,等.慢性意识障碍患者同期行颅骨修补和脑室-腹腔分流术后的意识恢复及并发症分析[J].临床神经外科杂志,2020,17(01):37-41.[doi:DOI:10.3969/j.issn.1672-7770.2020.01.009]
 GUO Yong-kun,WANG Xin-jun,SHAN Qiao,et al.Evaluation of curative effect and complication in one-stage operation of ventriculoperitoneal shunt and cranioplasty for patient with chronic disorders of consciousness[J].Journal of Clinical Neurosurgery,2020,17(01):37-41.[doi:DOI:10.3969/j.issn.1672-7770.2020.01.009]
点击复制

慢性意识障碍患者同期行颅骨修补和脑室-腹腔分流术后的意识恢复及并发症分析()
分享到:

《临床神经外科杂志》[ISSN:1672-7770/CN:32-1727/R]

卷:
17
期数:
2020年01期
页码:
37-41
栏目:
意识障碍专题
出版日期:
2020-02-15

文章信息/Info

Title:
Evaluation of curative effect and complication in one-stage operation of ventriculoperitoneal shunt and cranioplasty for patient with chronic disorders of consciousness
文章编号:
202001009
作者:
郭永坤王新军单峤易波王世帅李远清闵有会谢井伟周少龙刘春颖
450052 郑州,郑州大学第五附属医院神经外科(郭永坤,王新军,单峤,谢井伟,周少龙);郑州大学附属郑州中心医院神经外科(闵有会,王世帅);黄河科技学院医学院(刘春颖,易波);华南理工大学自动化科学与工程学院(李远清)
Author(s):
GUO Yong-kun WANG Xin-jun SHAN Qiao et al.
Department of Neurosurgery, The Fifth Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China
关键词:
慢性意识障碍颅骨修补脑室-腹腔分流并发症意识恢复
Keywords:
chronic disorders of consciousness cranioplasty ventriculoperitoneal shunt complication consciousness recovery
分类号:
R651; R628
DOI:
DOI:10.3969/j.issn.1672-7770.2020.01.009
文献标志码:
A
摘要:
目的研究慢性意识障碍患者颅骨修补与脑室-腹腔分流手术后,意识障碍恢复效果及并发症。方法郑州大学第五附属医院神经外科2015年1月—2018年8月同时行颅骨修补和脑室-腹腔分流术的18例慢性意识障碍患者。测评患者手术前后的修订版昏迷恢复量表(coma recovery scale-revised,CRS-R)评分和颅内压力变化;分析手术效果和并发症。结果8例患者(44.4%)在术后1年内完全恢复意识。与术前相比,术后1个月、3个月、6个月、1年时的CRS-R评分有不同程度的提高(P<0.05),术后1个月、3个月、6个月的子量表评分也有不同程度的提高(P<0.05)。颅骨修补后1周内,颅内压力比术前提高了(33.94±9.65)mm H2O,2周后无明显变化。术后严重并发症发生率为33% 。结论病情稳定的慢性意识障碍患者同时行颅骨修补和脑室-腹腔分流手术是一种有效的方法;尤其有利于微意识状态患者意识的恢复和神经功能康复。
Abstract:
Objective To study the effects and complication of ventriculoperitoneal shunt and cranioplasty on one-stage in patients with chronic disorders of consciousness(DOC). Methods 18 patients with DOC who underwent cranioplasty and ventriculoperitoneal shunt in the department of neurosurgery at the Fifth Affiliated Hospital of Zhengzhou University from January 2015 to August 2018 were collected. The CRS-R scores and the intracranial pressure were evaluated before and after operation. The recovery of consciousness and intracranial pressure were measured before and after the operation,the changes were analyzed, and the complications of patients also were analyzed. Results 8 patients with DOC restored consciousness within one year after surgery. The CRS-Rscores increased with the time going on, compared with the baselines, and the CRS-R scores at the 1month, 6 months and a year were significantly higher than the baseline. Visual, auditory and motor subscales were also significantly higher than the baseline in this period(P<0.05). Intracranial pressure was increased(33.94±9.65)mm H2O early after cranioplasty. All the early and long-term severe complications were 33%. Conclusion Cranioplasty and ventriculoperitoneal shunt is suggested to be a efficacious way to treat decompressive craniectomy defect and communicating hydrocephalus, especially beneficial to the recovery of consciousness level and functional in patients with MCS.

相似文献/References:

[1]张猛,邵柏,颜庆华,等.颅骨修补术后钛网外露[J].临床神经外科杂志,2014,(04):301.
[2]郑金玉,齐亮,陈中俊.三维钛网颅骨修补的手术技巧与并发症探讨[J].临床神经外科杂志,2014,(06):464.
[3]杨艺,耿小丽,党圆圆,等.持续性植物状态患者颅骨修补手术时间窗的研究[J].临床神经外科杂志,2019,16(2):160.[doi:10.3969/j.issn.1672-7770.2019.02.013]
 YANG Yi,Geng Xiao-li,DANG Yuan-yuan,et al.Study on time window of cranioplasty for patients with persistent vegetative state[J].Journal of Clinical Neurosurgery,2019,16(01):160.[doi:10.3969/j.issn.1672-7770.2019.02.013]
[4]董月青,张赛,郎胜坤,等.慢性意识障碍合并脑积水的临床特征与疗效分析[J].临床神经外科杂志,2020,17(01):27.[doi:DOI:10.3969/j.issn.1672-7770.2020.01.007]
 DONG Yue-qing,ZHANG Sai,LANG Sheng-kun,et al.Clinical characteristics and therapeutic effect of hydrocephalus with chronic disorders of consciousness[J].Journal of Clinical Neurosurgery,2020,17(01):27.[doi:DOI:10.3969/j.issn.1672-7770.2020.01.007]
[5]何艳斌,谢秋幼,虞容豪,等.脑机接口技术在慢性意识障碍诊疗中的应用进展[J].临床神经外科杂志,2020,17(01):105.[doi:DOI:10.3969/j.issn.1672-7770.2020.01.024]
 HE Yan-bin,XIE Qiu-you,YU Rong-hao,et al.Application of brain-computer interface in chronic disorders of consciousness[J].Journal of Clinical Neurosurgery,2020,17(01):105.[doi:DOI:10.3969/j.issn.1672-7770.2020.01.024]

更新日期/Last Update: 2020-02-18