婴幼儿脑室-腹腔分流术后并发症的临床分析  

The clinical analysis of postoperative complications reasons of ventriculoperitoneal shunt surgery in infants

作　　者：李新星[1] 刘斯琪[1] 李文鑫[1] 周建波[1] 刁宏宇[1] 刘云会[1] 

机构地区：[1]中国医科大学附属盛京医院第一神经外科,沈阳110004

出　　处：《中国医师进修杂志》2013年第32期15-17,共3页Chinese Journal of Postgraduates of Medicine

基　　金：辽宁省教育厅研究基金（2008820）

摘　　要：目的 探讨婴幼儿脑积水脑室-腹腔分流术后常见并发症发生的原因,改进手术方法,以减少术后并发症发生,提高临床疗效.方法 回顾性分析39例植入可调压式分流管治疗不同类型婴幼儿脑积水患儿的手术方法、结果和并发症发生情况,并提出处理对策.结果 30例患儿术后临床症状较术前明显改善,头颅CT复查均见脑室明显回缩.9例患儿术后出现并发症,其中分流管梗阻4例,分流管外露3例,颅内感染2例.结论 脑室-腹腔分流术的并发症与手术本身有关,改进手术方法,采取相应处理对策,严格无菌操作,注意术中的每一个细节,可有效减少并发症的发生.Objective To analyze the complications ofventriculoperitoneal shunt in the treatment of pediatric hydrocephalus,and improve operative method,in order to reduce postoperative complications and improve the clinical curative effect.Methods A total of 39 infants with hydrocephalus who underwent adjustable shunt were retrospectively analyzed,including surgical methods,results,and complications,and put forward counter measures.Results Thirty cases of postoperative clinical symptoms obviously improved compared with preoperative,head CT review were clearly seen with ventricle retraction.Nine cases suffered with complications after operation.Obstruction of shunt tube was found in 4 cases,shunt exposed in 3 cases,and postoperative infection in 2 cases.Conclusions Ventriculoperitoneal shunt complications related to surgery itself.Improved surgical techniques,and taking appropriate treatment measures can effectively reduce the incidence of complications.

关 键 词：脑积水 脑室腹膜分流术 手术后并发症 

分 类 号：R726.5[医药卫生—儿科]