Efficacy analysis of concurrent skull repair and ventriculoperitoneal shunt in patients with skull defects and hydrocephalus after cerebral hemorrhage surgery
Objective To analyze the efficacy of concurrent skull repair and ventriculoperitoneal(VP)shunt in patients with skull defects and hydrocephalus after cerebral hemorrhage surgery.Methods This study included 45 patients with skull defects and hydrocephalus following cerebral hemorrhage surgery,treated between January 2021 and September 2023 at the Neurosurgery Department of The First Affiliated Hospital of Bengbu Medical University.The patients were divided into two groups:the study group(21 cases)undergoing concurrent skull repair and VP shunt,and the control group(24 cases)undergoing skull repair within three months after VP shunt.The incidence of postoperative complications was analyzed and V/Bp values were com-pared before surgery and two weeks after surgery.The NIHSS and ADL scores were compared before surgery and three months after surgery.The excellent prognosis rates of two groups of patients were also calculated.Results The preoperative V/Bp values between the two groups had no statistical significance(P＞0.05).Two weeks postoperatively,both groups exhibited significantly reduced V/Bp values,with the study group showing a greater reduction(P＜0.05).There was no statistical significance in NIHSS and ADL scores be-tween the two groups before surgery(P＞0.05).Both NIHSS and ADL scores were improved three months postoperatively in both groups,with the study group demonstrating better outcomes(P＜0.05).The excel-lent prognosis rate was significantly higher in the study group(95.24％)compared to the control group(70.83％)three months postoperatively(P＜0.05).The study group also had a lower incidence of postopera-tive complications(4.76％)compared to the control group(33.33％)(P＜0.05).Conclusion Concurrent skull repair and VP shunt in patients with skull defects and hydrocephalus after cerebral hemorrhage surgery significantly alleviates hydrocephalus,enhances neurological function and daily living abilities,and leads to a higher rate of excellent prognosis with fewer postoperative complications,thus improving overall patient out-comes.
万方数据
维普
