经脐静脉侧脑室门静脉分流治疗脑室腹腔分流失败后的脑积水  

Ventricular- hepatoportal shunt via the umbilical vein for treatment of hydrocephalus after failure of ventriculoperitoneal shunt

作　　者：刘家传[1] 王金标[1] 张永明[1] 张星[1] 杨艳艳[1] 马涛[1] 周治民[1] 疏龙飞 

机构地区：[1]解放军第105医院神经外科,合肥230031

出　　处：《中华神经创伤外科电子杂志》2015年第2期14-16,共3页Chinese Journal Of Neurotraumatic Surgery：Electronic Edition

基　　金：南京军区医学科技创新重点课题(09Z009)

摘　　要：目的：探讨经脐静脉侧脑室门静脉分流治疗脑室腹腔分流（VPS）失败后的创伤性脑积水中应用。方法回顾分析解放军第105医院神经外科于2011年2月至2013年11月收治的8例创伤性脑积水患者行多次脑室腹腔分流失败后的临床资料，改用经脐静脉侧脑室门静脉分流术，观察术后分流效果及临床症状改善情况，结合有关文献总结手术经验与技巧。结果术后患者临床症状明显改善，未出现分流管堵塞、感染、血栓等并发症，随访10~18个月，复查头颅CT，患者脑积水均有不同程度改善。结论创伤性脑积水行多次VPS失败后改行经脐静脉侧脑室门静脉分流术，可取得较好疗效。Objective To explore the clinical effect of ventricular-hepatoportal shunt via the umbilical vein for treatment of traumatic hydrocephalus after failure of Ventricular-hepatoportal shunt （VPS）. Methods The clinical data of eight patients treated via the umbilical vein ventricular-hepato-portal shunt for traumatic hydrocephalus in our department after previous multiple VP failures, were analyzed retrospectively. The effects and clinical improvement symptoms after operation were observed, and related literature were reviewed to summarize the surgical experiences and skills. Results The clinical symptoms were significantly improved after surgery, and no significant complications as tube blockage, infection, blood clots occured. We follow-up the patients 10~18 months, the brain CT showed that the hydrocephalus got well improvement. Conclusion Traumatic hydrocephalus after failures of previous multiple ventricular-peritoneal shunt via the umbilical vein ventricular-hepatoportal shunt can receive better results.

关 键 词：脑积水 脑室腹腔分流术 门静脉 颅脑创伤 

分 类 号：R651.1[医药卫生—外科学]