International Journal of Clinical Research

Objective To analyze the clinical efficacy of ventriculoperitoneal shunt and cranioplasty with decompression of bone flap in patients with craniocerebral trauma and the impact on the survival of the patients. Methods Fifty patients with craniocerebral trauma admitted to our hospital from October 2022 to October 2023 were selected and divided into two groups by random envelope method. Both groups received ventriculoperitoneal shunt and craniotomy decompressive cranioplasty. The difference was that the observation group received concurrent treatment, while the control group received staged treatment. The intracranial pressure (ICP) and the score of severe craniocerebral injury Disability Rating Scale (DRS) at 7 days after operation were compared between the two groups. Results (1) The intracranial pressure of observation group was lower than that of control group 7 days after operation (P < 0.05); (2) Three months after surgery, DRS scores in the observation group were significantly lower than those before surgery, and lower than those in the control group (P < 0.05). Conclusion Simultaneous ventriculoperitoneal shunt and craniotomy can significantly reduce intracranial pressure and improve postoperative quality of life in patients with craniocerebral trauma.

Ventriculoperitoneal shunt; Traumatic brain injury; Decompressive cranioplasty with craniotomy