Abstract:ObjectiveTo explore the clinical effect of early stage and mediumterm cranioplasty following ventriculoperitoneal shunt (VPS) in the treatment of cerebral trauma, and therefore provide objective basis for the treatment.MethodsClinical data of 60 cerebral trauma patients complicated with hydrocephalus after decompressive craniectomy hospitalized in our department from Jan 2014 to Jan 2016 were analyzed retrospectively. All the patients were randomly divided into 2 groups, each group had 30 cases. The patients of the control group received initial VPS and cranioplasty 3 to 6 months after VPS (midterm stage cranioplasty), while those of the observation group received simultaneous cranioplasty and VPS (early stage cranioplasty). The evaluation scores of Glasgow coma scale (GCS), Glasgow outcome scale (GOS), and incidences of complications in the two groups were recorded and compared.ResultsThe postoperative rate of excellent and good GCS of the observation group (73.33%) was significantly higher than that of the control group (56.67%)(P<0.05), while the GOS of the observation group was also superior to that of the control group (P<0.05). The incidence of complications of the observation group was significantly lower than that of control group (P<0.05).ConclusionsFor patients with craniocerebral trauma, the early stage cranioplasty and VPS can effectively improve the clinical effect and neurological function and reduce the incidence of complications. It is worthy of clinical application and promotion.