可调压与非可调压分流管治疗儿童交通性脑积水疗效的比较  

Comparison of adjustable and set-pressure valves in the management of communicating hydrocephalus in children

作　　者：单臻[1] 陈昆[1] 黄育婵[2] 林佳平[1] 

机构地区：[1]中山大学附属第一医院神经外科,广州510080 [2]中山大学附属第一医院麻醉科,广州510080

出　　处：《中华神经医学杂志》2011年第3期299-302,共4页Chinese Journal of Neuromedicine

摘　　要：目的 探讨可调压与非可调压分流管治疗儿童交通性脑积水的效果。方法 中山大学附属第一医院神经外科自2003年1月至2009年12月行侧脑室腹腔分流术（VPS）治疗交通性脑积水儿童患者66例，其中采用Codman Hakim可调压分流管27例，采用Medtronic非可调压分流管39例，比较可调压分流管组和非可调压分流管组患者的并发症和分流装置平均生存时间。结果 2组患者分流管相关性感染、脑室端和腹腔端堵塞、硬膜下积液或血肿的发生率比较差异均无统计学意义（P〉0．05）。可调压分流管组分流装置平均生存时间为52.55个月，非可调压分流管组分流装置平均生存时间为42.33个月，2组分流装置生存曲线相比较差异无统计学意义（χ＾2＝0．763，P=0．382）。结论 与非可调压分流管相比，未发现使用可调压分流管治疗儿童交通性脑积水有明显的优势。Objective To analyze the outcomes of adjustable and set-pressure valves in the management of communicating hydrocephalus in children. Methods A retrospective study reviewing the medical records of 66 children with communicating hydrocephalus who received ventriculoperitoneal shunt at our center from January 2003 to December 2009 was performed. All the patients were divided into 2 groups： Codman Hakim adjustable valve group （n=27） and Medtronic set-pressure valve group （n=39）. Rate of appearing complication and shunt survival time were analyzed between the 2 groups. Results The rate of shunt infection, proximal or distal obstruction, subdural hematoma and subdural hygroma showed no statistical significance between patients of the adjustable and set-pressure valve groups （P=1.000, P=0.727, P=0.455, P=0.691, respectively）. The average shunt survival time of children in the adjustable valve group was 52.551 months （38.169-66.852, 95% CI） and that of children in the set-pressure valve group was 42.327 （31.636-53.019, 95%CI）; no statistical significance on the average shunt survival time between these 2 groups was noted （χ^2=0.763, P=0.382）. Conclusion The adjustable valve is not superior to set-pressure valve in the treatment of communicating hydrocephalus in children.

关 键 词：脑积水 脑室腹腔分流术 可调压分流管 儿童 

分 类 号：R726.5[医药卫生—儿科]