侧脑室-腹腔分流术治疗脑积水109例临床观察  

Cerebrospinal Fluid Shunting Surgery for Hydrocephalus

作　　者：刘建强[1] 李美华[2] 洪涛[2] 徐庚生[2] 邹安琪[2] 李东海[2] 周东伟[2] 曾春晖[2] 况建国[2] 王淳良[2] 

机构地区：[1]安福县人民医院神经外科,江西安福343200 [2]江西医学院第一附属医院神经外科,江西南昌330006

出　　处：《实用临床医学（江西）》2005年第3期46-48,共3页Practical Clinical Medicine

摘　　要：目的:探讨侧脑室 腹腔分流术治疗脑积水的临床疗效及术后并发症的处理。方法:109例脑积水患者采用 侧脑室 腹腔分流术治疗。结果:109例脑积水患者中,术后症状明显改善者93例,好转者14例,症状无改善者2 例。8例发生术后并发症,其中分流管阻塞5例,术后感染1例,精神障碍1例,癫痫1例。结论:侧脑室 腹腔分流 术治疗脑积水疗效显著,术中严格无菌操作,减少手术的创伤及采用最佳的置管方式是减少手术并发症、提高手术 成功率的关键。Objective:To explore the shunting surgery for hydrocephalus and its common complications. Methods:113 ventriculoperitoneal shunts and 1 ventriculoatrial shunt for 109 patients with hydrocephalus were performed in our department from January,2001 to October,2004. Results: 107 cases had a good result. Postoperative complications were found in 8 cases, including shunt apparatus blockage(5 cases),shunt infection(1 case),mental aberration(1 case), and epilepsy(1 case).They improved after the corresponding measures were taken. Conclusion: Ventriculoperitoneal shunt is the most common shunt style for hydrocephalus, but sometimes ventriculoatrial shunt is also the optimal choice for some patients unsuitable for ventriculoperitoneal shunt. The shunt apparatus blockage and infection are common postoperative complications. Intraoperative aseptic technique, the minimally invasive procedure, and the optimal placement of shunt tube may play an important role in improving the outcome of cerebrospinal fluid shunting surgery for hydrocephalus.

关 键 词：脑脊液 侧脑室-腹腔分流术 脑积水 手术后并发症 

分 类 号：R742.7[医药卫生—神经病学与精神病学] R651.11[医药卫生—临床医学]