脑室-腹腔分流术治疗正常压力脑积水的临床分析  

Clinical Analysis of Ventriculo-peritoneal Shunt in the Treatment of Patients with Normal Pressure Hydrocephalus

作　　者：董广宇[1] 吴春波[1] 禹婷婷 王新军[1] 兰周华[1] 

机构地区：[1]深圳市龙岗区人民医院,广东深圳518172 [2]深圳市康宁医院

出　　处：《中外医学研究》2016年第6期104-105,共2页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的：探讨脑室-腹腔分流术（VPS）治疗正常压力脑积水（NPH）的临床效果。方法：回顾性分析28例NPH患者VPS前后的临床资料及预后。结果：本组资料中无堵管、颅内出血、VPS相关感染及死亡病例。18例选用定压分流管者,术后出现分流不足2例,分流过度1例。随访3~12个月,显效19例,有效6例,无效3例,总有效率为89.3%（25/28）。结论：VPS可有效改善NPH患者的预后,手术病例的选择需要综合分析临床资料,选用可调压分流管可避免分流不足或过度。Objective：To investigate the clinical effect of ventriculo-peritoneal shunt（VPS） in the treatment of patients with normal pressure hydrocephalus（NPH）.Method：The clinical data and prognosis of 28 patients with NPH before and after VPS were analyzed retrospectively.Result：There was no blocking,intracranial hemorrhage,VPS related infection and death in this group.In 18 cases of constant pressure shunt tube,after the operation,lack of shunt in 2 cases,shunt excessive in 1 case.Followed up for 3 to 12 months,19 cases were markedly effective,6 cases were markedly effective and 3 cases were markedly ineffective,the total effective rate was 89.3%（25/28）.Conclusion：VPS can effectively improve the prognosis of patients with NPH,the choice of surgical cases requires a comprehensive analysis of clinical data,the use of adjustable pressure shunt tube can avoid shunt insufficiency or excessive.

关 键 词：正常压力脑积水 脑室-腹腔分流术 并发症 预后 

分 类 号：R651.1[医药卫生—外科学]