癌性脑膜病的分流手术治疗体会  

Experience of shunting surgery in treatment for meningeal carcinomatosis

作　　者：赵杰[1] 刘景平[1] 张治平[1] 伍明[1] 李建[1] 肖格磊[1] 廖新斌[1] 刘瑛[2] 

机构地区：[1]中南大学湘雅医院神经外科,长沙410008 [2]中南大学湘雅医学院病理生理学系,长沙410078

出　　处：《中南大学学报（医学版）》2017年第2期236-240,共5页Journal of Central South University ：Medical Science

基　　金：湖南省自然科学基金(2016JJ2157)~~

摘　　要：目的:评估分流手术在癌性脑膜病患者治疗中的价值。方法:回顾性分析5例采取分流手术治疗的癌性脑膜病患者的治疗经过。结果:5例患者颅内压得到了有效的控制,相关症状明显缓解。住院期间及随访期间未发现与分流手术相关的并发症。1例患者未实施分流手术,2月后死亡。结论:分流手术可有效缓解癌性脑膜病所致的颅内压增高,可减少因顽固性颅高压所致的死亡与残障,可提高癌症患者的生活质量。Objective： To evaluate the value of shunting surgery in the treatment for patients with meningeal carcinomatosis. Methods： The therapeutic process of shunting surgery was analyzed in S meningeal carcinomatosis patients. Results： The intracranial pressure could effectively be controlled, and the associated symptoms could be relieved. No complications associated with shunting surgery were found during the hospitalization and follow-up. One patient, who did not receive the surger）5 died in 2 months later. Conclusion： Shunting surgery can effectively relieve the intracranial pressure caused by meningeal carcinomatosis, decrease the mortality and morbidity caused by intractable intracranial hypertension in these patients, and improve their live quality.

关 键 词：癌性脑膜病 脑脊液 分流 并发症 颅高压 

分 类 号：R730.5[医药卫生—肿瘤]