两种不同术式治疗交通性脑积水临床分析  

Clinical analysis of two kinds of surgical procedures for the treatment of communicating hydrocephalus

作　　者：郑安锡[1] 黄晓明[1] 袁晓东[1] 唐文华[1] 陈世平[1] 程文[1] 张瑜[1] 

机构地区：[1]成都大学附属医院神经外科,610081

出　　处：《中国现代神经疾病杂志》2014年第10期906-909,共4页Chinese Journal of Contemporary Neurology and Neurosurgery

摘　　要：目的探讨两种手术方式治疗交通性脑积水之疗效和并发症。方法分别采用脑室-腹腔分流术或腰大池-腹腔分流术治疗43例交通性脑积水患者,比较其疗效和并发症发生率。结果两种术式疗效比较,差异无统计学意义(均P>0.05),但脑室-腹腔分流术组癫[36.36%(8/22)对0,P=0.008]、感染[36.36%(8/22)对4.76%(1/21),P=0.030]、颅内出血[27.27%(6/22)对0,P=0.032]等并发症发生率高于腰大池-腹腔分流术组。结论腰大池-腹腔分流术治疗交通性脑积水之疗效优于脑室-腹腔分流术,大多数患者可以腰大池-腹腔分流术替代脑室-腹腔分流术。Objective To explore the therapeutic effects and complications of two kinds of surgicalprocedures for the treatment of communicating hydrocephalus.MethodsVentriculoperitoneal shunt（VPS）and lumboperitoneal shunt（LPS） were respectively adopted to treat 43 cases of communicatinghydrocephalus. The therapeutic effects and complications were analyzed, and related literatures werereviewed.ResultsNo significant difference was found between 2 groups in therapeutic effects, such asalleviating headache, improving intelligence and ventricle shrinking（P 〉0.05, for all）. The incidence ofcomplications of ventriculoperitoneal shunt, mainly including epilepsy [36.36%（8/22） vs 0, P = 0.008],infection [36.36%（8/22） vs 4.76%（1/21）, P = 0.030], intracranial hemorrhage [27.27%（6/22） vs 0, P =0.032], and so on was significantly higher than that of lumboperitoneal shunt.ConclusionsForcommunicating hydrocephalus, the effect of lumboperitoneal shunt is better than that of ventriculoperitonealshunt, so the latter can be replaced by the former in most cases, except for infection or serious abnormalityat operative site.

关 键 词：脑积水 脑室腹膜分流术 手术后并发症 

分 类 号：R651.1[医药卫生—外科学]