脑脊液异常脑积水治疗进展  

Progress of Treatment for Abnormal Cerebrospinal Fluid Hydrocephalus

作　　者：向迅捷[1] 孙力[1] 秦坤明[2] 

机构地区：[1]广西壮族自治区江滨医院神经外科,南宁530021 [2]广西医科大学第一附属医院神经外科,南宁530021

出　　处：《医学综述》2016年第11期2174-2177,共4页Medical Recapitulate

摘　　要：脑脊液异常脑积水患者需要尽快行分流手术,但由于脑脊液细胞数及蛋白水平(>500 mg/L)异常,分流手术易引起分流管堵塞,造成手术失败。要使异常脑脊液恢复正常,目前的治疗方法主要有保守治疗、反复腰椎穿刺、脑室及腰大池穿刺外引流术等,但这些方法均存在一些不足。保守治疗患者难以耐受;反复腰椎穿刺释放脑脊液有限;脑室穿刺外引流及腰大池持续外引流有一定的风险,且易引起感染等并发症。The patients with cerebrospinal fluid abnormal hydrocephalus need shunt surgery as soon as possible. However,because the number of cells and protein content（ 500 mg / L） of the cerebrospinal fluid is abnormal,blockage of the shunt pipe may be easily caused,resulting in the failure of the operation. In order to make abnormal cerebrospinal fluid return to normal,the current treatments mainly include conservative treatment,repeated lumbar puncture,ventricle and lumbar cistern drainage,but these methods have some shortcomings. Conservative treatment is difficult to tolerate; repeated lumbar puncture released cerebrospinal fluid is limited; ventricular drainage and lumbar cistern drainage have a certain risk,and may cause infection and other complications.

关 键 词：脑积水 脑脊液异常 治疗进展 

分 类 号：R651.11[医药卫生—外科学]