Please note that this age is the average age of the patients reported in the article, as the actual age of patients involved was not provided.Please note that this is the gender of the majority of patients reported in the article as the actual genders of patients involved was not provided.If information is provided in the future, a supplemental report will be issued.
|
Fanpeng meng, haiyuan wu and shuguang yang.Clinical application of ventriculoperitoneal shunting in treating traumatic brain injury.Experimental and therapeutic medicine 18 (2019).Doi: 10.3892/etm.2019.7860 abstract.This study explored the clinical application of ventriculoperitoneal (vp) shunting in treating traumatic brain injury (tbi).A retrospective analysis was performed on 100 patients who had hydrocephalus due to tbi and were admitted to (b)(6) hospital from february 2012 to june 2016.Among these patients, 50 underwent vp shunting surgery and were assigned to the experimental group.The remaining 50 underwent lumboperitoneal (lp) shunting surgery and were assigned to the control group.Twenty days after surgery, all patients were evaluated for clinical outcomes, neurological deficit scores and complications.The results were compared between the two groups.Patients in the experimental group were further separated into three subgroups according to the severity of hydrocephalus, and clinical outcomes were compared among the subgroups.It was found that the effective rate in the experimental group was significantly higher than that in the control group, and the difference was statistically significant (p<(><<)>0.05).The effective rate in the mild hydrocephalus subgroup was significantly higher than that in the severe hydrocephalus subgroup, with a statistically significant difference (p<(><<)>0.05).The effective rate in the moderate hydrocephalus subgroup was significantly higher than that in the severe hydrocephalus subgroup, with a statistically significant difference (p<(><<)>0.05).The incidence of complications in the control group was significantly higher than that in the experimental group, and the difference was statistically significant (p<(><<)>0.05).The postoperative neurological deficit score in the experimental group was significantly lower than that in the control group, and the difference was statistically significant (p<(><<)>0.05).In conclusion, patients with hydrocephalus due to tbi had better clinical outcome when treated with vp shunting than those treated with lp shunting.Moreover, a better outcome was observed when the patient had milder hydrocephalus.Therefore, the early diagnosis and timely treatment with vp shunting are of great importance for patients with hydrocephalus.Reported events.The following complications were observed in the control group: 4 cases of postoperative infection and 2 cases of subdural hemorrhage.The following complications were observed in the experimental group: 2 cases of postoperative infection.
|