腰大池-腹腔分流术与脑室-腹腔分流术治疗交通性脑积水患者的并发症发生情况比较  

Observation of complications of lumboperitoneal shunt and ventriculoperitoneal shunt treating communicating hydrocephalus

作　　者：严欣江[1] 戴伟民[1] 余国峰[1] 揭园庆[1] 范晓峰[1] 黄强[1] 

机构地区：[1]浙江省衢州市人民医院神经外科,324000

出　　处：《中国医药》2016年第11期1640-1643,共4页China Medicine

基　　金：浙江省医药卫生科技计划（2015111364）

摘　　要：目的比较腰大池-腹腔分流术与脑室-腹腔分流术治疗交通性脑积水患者的并发症发生情况。方法选取2008年1月至2015年1月于浙江省衢州市人民医院行腰大池-腹腔分流术的交通性脑积水患者47例为观察组，另外选取同期行脑室-腹腔分流术的交通性脑积水患者143例为对照组。比较2组近期及远期并发症发生情况。结果术后随访1～8年，观察组并发症发生率为6．4％（3／47），对照组为26．6％（38／143）。观察组并发症发生率明显低于对照组，差异有统计学意义（P〈0．05）。结论腰大池-腹腔分流术治疗交通性脑积水较脑室-腹腔分流术并发症发生率低。Objective To observe postoperative comphcations of lumboperitoneal shunt and ventriculoperitoneal shunt treating patients with communicating hydrocephalus. Methods Forty-seven patients with communicating hydrocephalus treated with lumboperitoneal shunts from January 2008 to January 2015 in People＇s Hospital of Quzhou City were enrolled as observation group. One hundred and forty-three communicating hydrocephalus patients treated with ventriculoperitoneal shunts with same operation period were erolled as control group. Short-and long-term complications were observed. Results Follow up 1-8 years, the incidence of complications in observation group was 6.4% （ 3/47 ） , it was 26. 6% （ 38/143 ） in control group ; the difference between groups was statistically significant（P 〈 0. 05 ）. Conclusion Compared to ventriculoperitoneal shunt, lumboperitoneal shunt has a lower complication incidence treating communicating hydrocephalus.

关 键 词：交通性脑积水 腰大池-腹腔分流术 脑室-腹腔分流术 并发症 

分 类 号：R587.1[医药卫生—内分泌]