脑室内积血合并脑积水的直管分流治疗  

Ventriculoperitoneal shunt without valve for intraventricular blood accumulation accompanied by hydrocephalus

作　　者：胡志刚[1] 王汉东[1] 樊友武[1] 马驰原[1] 凌海平[1] 

机构地区：[1]南京大学医学院附属金陵医院南京军区南京总医院神经外科,210002

出　　处：《中国微侵袭神经外科杂志》2016年第5期208-209,共2页Chinese Journal of Minimally Invasive Neurosurgery

摘　　要：目的探讨脑室内积血合并脑积水直管分流的疗效。方法回顾性分析22例脑室内积血合并脑积水病例资料,均采用去除阀门的直管分流。结果因原发病于分流术后近期死亡4例,失访5例;13例病人随访2~5年,恢复良好。2例病人未安装阀门,11例病人术后9 d^2年安装阀门。结论直管分流是治疗脑室内积血合并脑积水的有效方法。Objective To explore the therapeutic efficacy of ventriculo-peritoneal shunt without valve for intraventricular blood accumulation accompanied by hydrocephalus. Methods The clinical data of 22 patients with intraventricular blood accumulation accompanied by hydrocephalus were analyzed retrospectively. The ventriculo-peritoneal shunt without valve was performed in all the patients. Results Four patients died duo to primary disease. Five patients were lost to follow-up. The remaining 13 patients were followed up for 2 to 5 years and recovered well. Druing 9 d to 2 years after shunt, the valve was installed in 11 patients and not installed in 2. Conclusions Ventriculo-peritoneal shunt without valve is an effective procedure for intraventricular blood accumulation accompanied by hydrocephalus.

关 键 词：脑积水 脑室内积血 脑室-腹腔分流 直管分流 

分 类 号：R651.1[医药卫生—外科学]