可调压腰大池-腹腔分流术治疗颅内动脉瘤术后交通性脑积水  

TREATMENT OF COMMUNICATING HYDROCEPHALUS AFTER ANEURYSMS OPERATION BY LUMBOPERITONEAL SHUNT WITH EXTERNAL PRESSURE REGULATOR

作　　者：张云鹤[1] 常莉莎[2] 付爱军[1] 杨鹏[1] 李群喜[1] 安朝旺[1] 

机构地区：[1]河北联合大学附属医院神经外科,河北省唐山市063000 [2]河北联合大学附属医院神经内二科,河北省唐山市063000

出　　处：《中国煤炭工业医学杂志》2013年第7期1101-1103,共3页Chinese Journal of Coal Industry Medicine

摘　　要：目的探讨体外可调压腰大池-腹腔(L-P)分流术治疗颅内动脉瘤夹闭术后交通性脑积水的可行性及其优势。方法对14例颅内动脉瘤夹闭术后并发交通性脑积水患者行体外可调压L-P分流术,评价此手术与传统手术的优越性。结果随访3～24个月,14例治疗效果明显,经CT检查见脑室系统均恢复正常大小,无分流过度或不足表现,并发症少。结论体外可调压L-P分流术治疗交通性脑积水的疗效确切,并具有并发症少、创伤小、患者恢复快等优点,值得推广应用。Objective To investigate the advantages of the therapy of communicating hydrocephalus after aneurysms operation by lumboperitoneal（L-P）shunt with external pressure regulator.Methods Totally 14 patients with communicating hydrocephalus after aneurysms operation were treated by L-P shunt with external pressure regulator.The merits and demerits were evaluated.Results All the patients were followed up from3 to 24 months.The curative effects of the L-P shunt with external pressure regulator on communicating hydrocephalus were good in all the patients,in whom the return of the cerebral ventricles to normal was demonstrated by CT examination,and excessive or insufficient shunt did not occur.Conclusion L-P shunt with external pressure regulator should be widely applied for its good curative effect with fewer complications,less invasive and quick recovery in patients.

关 键 词：脑积水 交通性 体外调压 腰大池-腹腔(L-P)分流术 

分 类 号：R651.1[医药卫生—外科学]