脑室腹腔分流术治疗小儿脑积水体会  

Ventriculoperitoneal shunt treating pediatric hydrocephal

作　　者：张腾飞[1] 吴斌[2] 宋明[2] 杨庆哲[2] 王计强[2] 赵和千[2] 赵海龙[2] 

机构地区：[1]河北联合大学研究生院 [2]北京三博脑科医院神经外科,北京100093

出　　处：《中国现代医生》2014年第14期149-151,共3页China Modern Doctor

基　　金：国家临床重点专科建设项目儿童脑积水的治疗(SG2011-07-1)

摘　　要：目的探讨脑室-腹腔分流术治疗小儿脑积水的疗效和并发症。方法对行脑室-腹腔分流术的30例脑积水患儿的病例资料进行统计分析。结果 27例(90%)脑积水患儿脑室较前缩小,3例(10%)患儿脑室无明显缩小。3例患儿出现并发症(10%),其中皮下积液2例(6.67%),分流泵外露1例(3.33%)。术后患儿均无感染。结论脑室-腹腔分流术中严格无菌操作,重视手术细节,是减少术后并发症、提高手术疗效的关键。Objective To explore the effect and complications of ventricle peritoneal shunt n pediatric hydrocephalus. Methods The clinical data was analysed in 30 cases of pediatric hydrocephalus. Results A total of 27 cases （90%） of pediatric hydrocephalus were found reduction of ventricle. 3 cases were found no obvious reduction of ventricle. Post-operative complications in 3 cases （10%）, subcutaneous liquid collection in 2 cases （6.67%）, diverter pump in 1 case （3.33%）. No patients were found infection. Conclusion Strict sterilizing procedures andhigh quality and attention-to-detail is the key to reduce postoperative complications and improve surgical outcomes.

关 键 词：脑积水 脑室腹腔分流术 

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]