脑室-腹腔分流术在脑积水患者中的临床效果应用体会  

Ventricle-celiac bypass surgery for hydrocephalus

作　　者：许国栋[1] 邢俊领[1] 韦红霞[1] 赵遏辉 武莉娜[1] 王玉峰[1] 

机构地区：[1]新乡医学院第三附属医院神经外科,453731

出　　处：《国际医药卫生导报》2016年第2期220-222,共3页International Medicine and Health Guidance News

摘　　要：目的 探讨脑室-腹腔分流术（V-P）在脑积水患者中的临床价值.方法 将我院接受脑积水治疗的50例患者随机分成对照组和治疗组,对照组采取侧脑室矢状窦分流术治疗,治疗组采取V-P术治疗,比较两组患者的临床疗效、生活质量以及并发症发生情况.结果 治疗组总有效率为96.00％,高于对照组的76.00％,差异具有统计学意义（P＜0.05）;治疗组手术时间、住院时间、术后排气时间等指标均短于对照组,差异具有统计学意义（P＜0.05）;治疗组并发症发生率为12.00％,低于对照组的36.00％,差异具有统计学意义（P＜0.05）.结论 在脑积水患者中应用V-P术治疗能有效缩短患者的住院时间,减少并发症的产生,值得推广.Objective To explore the clinical value of ventricle-celiac bypass surgery （V-P） for hydrocephalus.Methods 50 patients with hydrocephalus treated at our hospital were randomly divided into a control group and a treatment group.The control group were treated with lateral ventricle sagittal sinus bypass surgery and the treatment group V-P.The clinical curative effect, life quality, and incidence of complications were compared between these two groups.Results The total effective rate was 96.00% in treatment group and 76.00% in control group, with a statistical difference （P〈0.05）.The operation time, length of hospital stay, and postoperative exhaustion time were shorter in the treatment group than in the control group, with statistical differences （P 〈 0.05）.The incidence of complications was 12.00% in treatment group and 36.00% in the control group, with a statistical difference （P 〈 0.05）.Conclusions V-P for patients with hydrocephalus can effectively shorten the hospitalization time and decrease the incidence of complications and is worth being generalized.

关 键 词：脑室-腹腔分流术 脑积水 效果应用 

分 类 号：R742.7[医药卫生—神经病学与精神病学]