脑室腹腔分流管堵塞相关危险因素统计分析  

Statistical analysis for related risk factors of ventriculo-peritoneal shunt tube blockage

作　　者：张大鹏[1] 蒋广义[1] 陈子龙[1] 王树凯[1] 

机构地区：[1]郑州大学第一附属医院,450052

出　　处：《中国实用医刊》2013年第10期17-19,共3页Chinese Journal of Practical Medicine

摘　　要：目的探讨脑室腹腔分流术（ventriculo—peritoneal shunt，V—Ps）术后分流管堵塞的相关危险因素。方法回顾性分析78例行V—Ps患者的临床资料，记录患者年龄、性别、腹腔炎症病史、术前脑脊液蛋白及细胞数、手术方式、术中有无反复穿刺脑室等（≥3次），Logistic回归分析V—Ps术后分流管堵塞的独立危险因素。结果随访1年，发生堵塞23例（29．5％）。Logistic 回归分析表明：腹腔炎症病史、术前脑脊液蛋白及细胞数、手术方式、术中有无反复穿刺脑室是V-Ps术后分流管堵塞的独立危险预测因素；而性别、年龄与V—Ps术后分流管堵塞无明显关系。结论腹腔炎症病史、术前脑脊液蛋白及细胞数、手术方式、术中有无反复穿刺脑室是V—Ps术后分流管堵塞的高危因素。Objective To investigate the related risk factors of shunt tube blockage after ventri- culo-peritoneal shunt（V-Ps）. Methods The clinical data of 78 patients who accepted V-Ps were ana- lyzed retrospectively, The age, sex, abdominal inflammation history, preoperative eerebrospinal fluid pro- tein and cell number, operation mode, whether puncture ventricle repeatedly intraoperative （not less than three times） were recorded. The independent risk factors of shunt tube plugging after V-Ps were evaluated by Logistic regression analysis. Results During follow-up of 1 year, 23 cases of （29.5%）clogging. Lo- gistic regression analysis showed such as abdominal inflammation history, preoperative cerebrospinal fluid protein and cell number, operation mode, whether puncture ventricle repeatedly intraoperative were the independent risk prediction factors of shunt tube plugging after V-Ps; There was no significant relation- ship between shunt tube plugging after V-Ps and factors as sex and age. Conclusions Celiac inflamma- tion history, preoperative cerebrospinal fluid protein and cell number, operation mode, whether puncture ventricle repeatedly intraoperative are the high-risk factors of shunt tube plugging after V-Ps.

关 键 词：分流管堵塞 高危因素 LOGISTIC模型 

分 类 号：R651.1[医药卫生—外科学]