脑室—腹腔分流术腹穿置管的疗效评价  

The clinical study on via a trocar introducing the distal catheter of shunt into peritoneal cavity

作　　者：杨彦钊[1] 许建新[1] 

机构地区：[1]山西医科大学第二医院,山西太原030001

出　　处：《临床医药实践》2004年第10期728-730,共3页Proceeding of Clinical Medicine

摘　　要：目的 :通过随机对照临床应用研究 ,对脑室—腹腔分流术腹穿置管的临床效果做出评价。方法 :确诊脑积水且需行脑室—腹腔分流术 ,术中选择右上腹腹直肌旁切口或腹穿针打通腹壁全层两种方式之一置分流管于腹腔内。结果 :两种术式疗效无显著性差异 ,前术式术后腹部不适反应持续时间长 ,后者手术过程简便 ,时间短 ,术后腹部不适反应持续时间短 ,但后术式有 1例腹腔脏器损伤、3例分流管腹腔端位于腹膜外未进入腹腔 ,皆经修正手术治愈出院。结论 :脑室—腹腔分流术腹穿置管的方法临床应用中虽有许多优点 ,但风险也不容忽视 ,临床应用还须谨慎。Objective:Evaluating the outcome of operative procedure introducing the distal catheter of shunt into peritoneal cavity via a trocar by random contrast clinical test.Methods:While cases were diagnosed as hydrocephalus and needed shunting,implant the distal catheter into peritoneal cavity through right upper abdominal lateral rectus incision or introduce the catheter via a trocar.Results:Both procedures had common clinical effect.The former groups patients had an abdominal unwellness for rather a longer term than the latter after operation,the latter proce dure was simple and brief.Among the latter we found 1 case with celiac visceral hurt and 3 cases the distal catheter displaced in the celiac wall,they all were cured and discharged.Conclusion:Procedure introducing the distal catheter of shunt into peritoneal cavity via a trocar has many clinical advantages,but we shall pay more attention to the risk and use cautiouly.

关 键 词：脑积水分流术 套管针 腹腔穿刺 并发症 

分 类 号：R742[医药卫生—神经病学与精神病学]