腹腔端微创置管技术在脑室-腹腔分流术中的应用(附85例分析)  

Application of minimally invasive peritoneal catheter placement technique in ventriculoperitoneal shunt:analysis of 85 hydrocephalus cases

作　　者：杨东波[1] 蒋传路[1] 叶伟[1] 杨海城[1] 李永利[1] 

机构地区：[1]哈尔滨医科大学第二附属医院神经外科,黑龙江哈尔滨150086

出　　处：《中国微侵袭神经外科杂志》2009年第7期301-302,共2页Chinese Journal of Minimally Invasive Neurosurgery

摘　　要：目的探讨在不用腹腔镜的情况下,微创分流管腹腔端置管技术在脑室-腹腔分流术中的安全性和可行性。方法回顾性分析85例采用微创分流管腹腔端置管技术病人的手术指征、手术技巧及并发症等。本组采用人工气腹,腹部行5 mm小切口,在不使用腹腔镜的情况下置入分流管腹腔端。结果术后发生颅内感染2例,脑室端梗阻2例,脑室端异位1例和腹腔端包裹性积液1例,无腹腔端异位或腹腔脏器损伤发生。结论微创分流管腹腔端置管技术安全有效,具有操作简单、损伤轻微、节省医用资源、减少费用、并发症少等特点,易于在各级医院开展。Objective To investigate the safety and feasibility of ventriculoperitoneal shunt （VPS） by mini-invasive peritoneal catheter placement without laparoscope. Methods The indication, surgical skill and complication with mini-invasive peritoneal catheter placement without laparoscope for VPS were retrospectively analyzed in 85 consecutive patients. All the patients were given a 5 mm skin incision under artificial pneumoperitoneum, and then the shunt catheter was placed into the abdominal cavity without laparoscopy. Results Two patients suffered intracranial infection, 2 cerebral ventricular obstruction, 1 misplaced ventricular catheter and 1 abdominal pseudocyst, and no bowel injury and distal catheter misplacement happened. Conclusion VPS by minimally invasive peritoneal catheter placement is characterized by minimal invasion, safety, simple operation, saving medical resource and reducing complications, thus being easy to perform in ordinary hospitals.

关 键 词：脑积水 脑室-腹膜分流术 气腹 人工 

分 类 号：R651.12[医药卫生—外科学]