脑室-腹腔分流术治疗脑积水  

Ventriculoperitoneal Shunts Treatment of Hydrocephalus

作　　者：李创忠[1] 吕媛媛[1] 

机构地区：[1]解放军第230医院脑外科,辽宁丹东118000

出　　处：《临床军医杂志》2002年第1期67-68,共2页Clinical Journal of Medical Officers

摘　　要：目的　分析脑室 腹腔 (V P)分流术治疗后脑积水患者的疗效及其并发症的相关因素。方法　 80例中 ,梗阻性积水 6 4例。 12例右额顶部头皮条件差及右侧开颅去骨瓣减压术后者、2例单纯左侧脑室积水者行左侧V P分流术 ,余 6 6例行右侧分流术。术中、术后预防性应用抗生素 ,术后短期应用皮质激素。结果　 80例术后均有短期低热 ,过度引流 16例 ,复发 2 2例 ,无一例感染。结论　V P分流术操作简便、严重并发症少、分流效果确切。术前、术中及术后合理治疗可有效控制感染 ,减小堵管率 。Objective To analyse the related factors of therapeutic effects and complications about ventriculoperitoneal shunts so as to improve the therapeutic effect on the disease. Methods Clinical data from 80 cases with hydrocephalus, 64 cases were noncommunicating. 2 cases with left unilateral ventricle hydrocephalus and 12 cases with fool medical condition of right crania were operated from left lateral ventricle and others from right. Results All patients have short time low fever. Low intracranial pressure in 16 and relapse in 22. No one infected until this time. Conclusion Ventriculoperitoneal shunt has many merits such as easy operation, few serious complications and exact therapeutic effect. Proper surround operative management was the key to successful shunt for hydrocephalus.

关 键 词：脑积水 脑室-腹腔分流术 手术方法 

分 类 号：R742.7[医药卫生—神经病学与精神病学]