脑室-腹腔分流术治疗婴幼儿脑积水的疗效分析  

Infant hydrocephalus treated by ventriculoperitoneal shunting:efficiency analysis

作　　者：李新星[1] 周建波[1] 刘斯琪[1] 李文鑫[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神经外科,辽宁沈阳110004

出　　处：《中华神经外科疾病研究杂志》2014年第1期55-58,共4页Chinese Journal of Neurosurgical Disease Research

基　　金：辽宁省教育厅研究基金资助项目(2008820)

摘　　要：目的总结可调压式分流管治疗婴幼儿脑积水的临床经验,探讨其临床应用价值。方法回顾性分析29例植入可调压式分流管治疗不同类型婴幼儿脑积水的临床资料。患儿均行脑室-腹腔分流术,术中根据侧脑室的测压结果设定分流阀的初始压力,术后根据患儿症状体征的改善情况及影像学结果调整分流阀的压力。结果术后随访3~48个月,患儿临床症状均明显缓解或消失,CT检查显示脑室均较术前缩小。术后感染2例,分流管梗阻3例。结论可调压式分流管具有个体化设定分流阀压力的优点,可有效避免术后分流过度和分流不足的出现,是治疗婴幼儿脑积水的首选方法。Objective To summarize the experience of the programmable shunt valve in the treatment of hydrocephalus in infants and to assess the clinical value, Methods A total of 29 infants with hydrocephalus who underwent ventriculoperitoneal shunt surgery and programmable valve implantation during operation were analyzed retrospectively. The opening pressure was settled based on intraoperative intraventrictdar pressure. Postoperative regulator opening pressure was adjusted according to chnical improvement and imaging results after operation. Results All the cases were followed up for 3 to 48 months,and their clinical syn^toms were relieved or disappeared. CT examination showed the size of ventricle was reduced in all cases compared with preoperation. Postoperative infection was found in 2 cases and shunt obstruction in 3 cases. Conclusion Programmable shunt valve has the advantage of individual pressure setting and can effectively prevent the excessive and insufficient segregation postoperation.

关 键 词：婴幼儿脑积水 脑室-腹腔分流术 治疗 

分 类 号：R742.7[医药卫生—神经病学与精神病学]