腹腔内高压致侧脑室-腹腔分流术后分流管阻塞的治疗  

Management of ventriculoperitoneal shunt obstruction caused by intraabdominal hypertension

作　　者：陈建发 陈引香 朱红胜 肖建秋 傅明 李萍 

机构地区：[1]解放军第422中心医院普外科,广东湛江524009 [2]解放军第422中心医院神经外科,广东湛江524009

出　　处：《广东医学院学报》2011年第2期135-136,共2页Journal of Guangdong Medical College

摘　　要：目的探讨腹腔内高压致侧脑室-腹腔分流术后腹腔端分流管阻塞的治疗经验。方法收集本院自2006年2月至2010年10月腹腔内高压致侧脑室-腹腔分流术后腹腔端分流管阻塞的患者12例,采用乳胶管暂时性外引流解除阻塞,回顾性分析其临床资料。结果术后引流管通畅,每日脑脊液外引流量100～350mL,平均(212.6±30.1)mL。完全拔管时间6～15d,平均(7.6±4.3)d。术后随访6个月,本组12例患者拔管后均未再出现分流管腹腔端阻塞;出现胶管周围炎症反应1例。结论乳胶管暂时性外引流可解除腹腔内高压致脑积水侧脑室-腹腔分流术后腹腔端分流管的阻塞,方法简便易行。Objective To summarize the treatment experience of intraabdominal hypertension-induced ventriculoperitoneal shunt obstruction.Methods Twelve patients with ventriculoperitoneal shunt developed distal obstruction due to intraabdominal hypertension between February 2006 and October 2010,and then underwent temporary external drainage with latex tube.Results Daily drainage volume of cerebrospinal fluid was 100～350（average,212.6±30.1） mL,and extubation time was 6～ 15（average,7.6±4.3） days.During the period of 6-month follow-up,all cases presented no relapse of distal obstruction except one developed inflammatory reaction around catheter.Conclusion Temporary external drainage is simple and feasible for removal of intraabdominal hypertension-induced ventriculoperitoneal shunt obstruction.

关 键 词：脑积水 侧脑室-腹腔分流术 并发症 腹腔内高压 治疗 

分 类 号：R742.7[医药卫生—神经病学与精神病学]