正常压力脑积水的临床特征和手术治疗  

Clinical characteristics and surgical treatment of normal pressure hydrocephalus

作　　者：赵希敏[1] 刘勇[1] 刘霞[1] 

机构地区：[1]上海市宝山中心医院神经外科,201900

出　　处：《中国临床神经外科杂志》2011年第9期538-540,共3页Chinese Journal of Clinical Neurosurgery

摘　　要：目的探讨正常压力脑积水(NPH)的临床特征和手术治疗效果。方法 NPH患者32例,其中17例应用中压分流管、15例用可调压分流管行脑室-腹腔分流术治疗。结果应用可调压分流管分流者的症状改善率为86.7%(13/15),应用中压分流管者为41.2%(7/17),两者相差显著(P<0.01)。结论应用可调压分流管行脑室-腹腔分流是治疗NPH的有效方法。Objective To study the clinical characteristics,surgical strategy of normal pressure hydrocephalus（NPH） based on our experience.Method The clinical data of 32 patients with NPH who were treated by ventriculo-peritoneal（V-P） shunt were analyzed respectively.Results Of 32 patients,15 received V-P shunt with adjustable valves and 17 with middle pressure and non-adjustable valves.The effective rate（86.7%,13/15） of patients undergoing the adjustable valve shunt was significantly higher than that（42.1%,7/17） in the patients undergoing middle pressure and non-adjustable valve shunt（P 0.05）.Conclusion V-P shunt with an adjustable valve is an effective method to treat normal pressure hydrocephalus.

关 键 词：正常压力脑积水 脑室-腹腔分流术 可调压分流管 中压分流管 效果 

分 类 号：R742.7[医药卫生—神经病学与精神病学] R651.11[医药卫生—临床医学]