To study the clinical effect of ventriculo peritoneal (V-P) shunt in patients with hydrocephalus of different degrees after traumatic brain injury (TBI).

One hundred patients with hydrocephalus after TBI admitted to Department of Cerebrospinal Fluid Neurosurgery, Aviation General Hospital from August 2011 to August 2018 were selected as the research object. All patients were treated with V-P shunt. The patients were divided into observation group (n=50) and control group (n=50) according to different degrees of hydrocephalus. The patients in the control group were severe hydrocephalus and the patients in the observation group were mild hydrocephalus. The therapeutic effect, incidence of adverse reactions, GOS score, GCS score and periventricular edema zone diameter before and after treatment were compared between the two groups.

The therapeutic effect of the observation group was 96.0%, which was significantly superior to that of the control group (78.0%), and the incidence of adverse reactions such as shunt obstruction, infection and subdural edema in the observation group were 6.0%, lower than 24.0% in the control group, the differences were statistically significant (P<0.05). There were significant differences in GOS, GCS scores and periventricular edema zone diameter between the two groups after treatment (P<0.05).

The clinical effect of V-P shunt for patients with different degrees of hydrocephalus after TBI can show that the surgical treatment for mild hydrocephalus has a higher clinical effect and a lower incidence of adverse reactions compared with severe patients.