几种脑积水分流方法的临床评价(附75例报告)  

Appreciation of three neurosurgery shunt methods for freafing hydrocephalus

作　　者：王培[1] 王恩海[1] 王贵富[1] 王玉玉[1] 刘同华[1] 

机构地区：[1]遵义医学院第一附院神经外科

出　　处：《遵义医学院学报》1998年第2期40-41,共2页Journal of Zunyi Medical University

摘　　要：目的总结75例不同病因引起脑积水的3种分流方法，以评价其临床疗效。方法分析75例脑积水形成的病因手术方法、手术结果、术后并发症等。结果除颅内肿瘤（5例）及术后癫痫致颅内出血（2例）共死亡7例外，手术疗效满意。但术后并发症以脑室心房分流术及脑室腹腔分流术后分流管堵塞的发生率较高。结论根据不同手术指征，选择不同分流方法，改进分流管，可减少手术损伤及术后分流管堵塞引流不畅等并发症。Objective To evaluate the effects of three neurosurgery shunt metheds in treatment of 75 cases withhydrocephalus. Methods The causes of diseases, operative approaches, effects of operations, postoperativecomplications were summarized in 75 patients. Results The effects of three shunt mathods, generally, weregood, but 7 cases died of brain tumors and intracranial hemorrhages due to epileptic seizure. The incidence ofpostoperative complication induced by the shunt pipe obstrution was higher in ventriculoatrial andventriculoabdominal shunts. Conclusions The shunt method and shunt pipe chosen for theating hydroucephalusdepending on the aperative indication can reduce the operative damage and complication of block.

关 键 词：脑积水 分流法 脑室心房分流术 脑室腹腔分流 

分 类 号：R742.705[医药卫生—神经病学与精神病学]