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A Clinical Study on Individualized Surgical Scheme of Hydrocephalus Complicated With Skull Defect
Jian-Yun Zhou1,2, Xin Zhang1,2, Hai-Bin Gao1,2
1Department of Neurosurgery, Beijing Boai Hospital, China Rehabilitation Research Centre.
Objective:
This study intends to discuss the individualized selection of surgical scheme of hydrocephalus complicated with skull defect.
Methods:
A total of 141 patients with hydrocephalus complicated with skull defect in our hospital from January 2012 to December 2018 were the main subjects of this study. Among these 141 patients, 78 patients underwent shunt and skull repair surgery in our hospital. In the present study, according to the classification of bone window tension, and combined with factors that affect the operation, different surgical schemes were selected, namely, repair surgery in the first phase and shunt surgery in the second phase, or simultaneous surgery, or shunt surgery in the first phase and repair surgery in the second phase.
Results:
The results of the present study show that an individualized surgical scheme can allow for the operation of hydrocephalus complicated with skull defect, without increasing the risk of complications, such as shunt infection, epidural hematoma, etc.
Conclusions:
The surgical scheme for hydrocephalus complicated with skull defect differs in clinic.
