正常压力性脑积水分流术后运动功能恢复的相关因素分析  

Related factors for the motor recovery after vectriculoperitoneal shunt in normal pressure hydrocephalus

作　　者：张向华[1] 刘藏[1] 石祥恩[2] 贺军华[3] 张晶[1] 艾泉山[1] 

机构地区：[1]首都医科大学附属北京友谊医院神经外科,北京100050 [2]北京三博脑科医院神经外科,北京100093 [3]浙江省立同德医院神经外科,杭州310012

出　　处：《国际外科学杂志》2010年第12期819-822,共4页International Journal of Surgery

摘　　要：目的 脑室腹腔分流术是正常压力性脑积水较理想的治疗方式,本研究旨在对分流术后运动功能恢复的相关因素进行分析.方法 26例患者行分流术,以发病时间、腰穿压力、腰穿后症状改善及术后12个月时运动功能的恢复为指标.结果 术后12个月时,发病时间较短,腰穿压力较高,腰穿后症状有改善者,运动功能的恢复较好.结论 发病时间较短,腰穿压力较高,腰穿后症状改善者,分流术多有效.Objective Ventriculoperitoneal shunt （VPS）is preferable in treatment for normal pressure hydrocephalus （NPH）. In this study, the factors related to the motor recovery after VPS were analysed.Method Twenty-six patients were treated with VPS, and four factors, that are duration of symptoms, open lumbar puncture（LP） pressure, improvement after LP ,and motor recovery of twelve months after operation,were assessed. Results Twelve months after VPS, the better motor recovery after VPS was related to shorter duration of symptoms, higher open LP pressure, and symptom improvement after LP. Conclusion The patients with shorter duration of symptoms, higher open LP pressure, and symptom improvement after LP are often responsive to VPS.

关 键 词：正常压力性脑积水 脑室腹腔分流术 

分 类 号：R651.1[医药卫生—外科学]