腰大池腹腔分流术与侧脑室腹腔分流术治疗交通性脑积水患者的效果比较  

Comparision of lumbar shunt and complications of ventriculo peritoneal shunt on complications patients with communicating hydrocephalus

作　　者：鲁军体[1] 王娜[1] 刘炎伟[2] 程龙海[1] 武高 黄宽明[1] 张力[1] 

机构地区：[1]湖北省十堰市太和医院/湖北医药学院附属医院神经外科,442000 [2]湖北省十堰市太和医院/湖北医药学院附属医院胃肠外科,442000

出　　处：《检验医学与临床》2017年第10期1429-1430,1433,共3页Laboratory Medicine and Clinic

摘　　要：目的比较腰大池腹腔分流术与侧脑室腹腔分流术治疗交通性脑积水患者的效果。方法选择2011年6月至2016年6月在该院住院治疗的130例交通性脑积水患者,按照随机数表法将其分为两组,其中试验组62例均实施腰大池腹腔分流术,对照组68例均实施侧脑室腹腔分流术。观察两组患者的手术一次性成功率,并在术后进行为期6个月的随访,记录其术后并发症发生率,通过患者的临床体征来判定治疗效果。结果试验组患者引流过度或不足、堵管及感染患者的比例低于对照组,此外,试验组患者的一次性成功率及总优良率明显高于对照,差异均具有统计学意义(P<0.05)。结论腰大池腹腔分流术和侧脑室腹腔分流术相比,具有更高的一次性成功率,同时通过降低患者术后并发症发生率来提高患者的治疗效果,因此值得临床推广使用。Objective To compare the effect of lumbar shunt and complications of ventriculo peritoneal shunt on complications patients with communicating hydrocephalus.Methods A total of 130 patients with communicating hydrocephalus in our hospital from June 2011 to June 2016 were selected,who were randomly divided into two groups,including 62 cases in the experimental group and 68 cases in the control group.The experimental group was implemented lumbar peritoneal shunt,and the control group underwent ventriculo peritoneal shunt.The one-time success rates of two groups of patients were compared,and after a period of 6 months of follow-up,the incidences of postoperative complications were also compared through the patients′ clinical signs to determine the treatment effect.Results The rates of excessive or insufficient drainage tube blockage and the proportion of infected patients in the experimental group were significantly lower than in the control group （P〈0.05）,in addition,the total success rates of the patients in the experimental group were significantly higher than the control （P〈0.05）.Conclusion Compared with ventriculo peritoneal shunt,lumbar shunt has higher one-time success rate,at the same time,it could improve curative effect by reducing the occurrence of postoperative complications,which is worthy to be popularized.

关 键 词：腰大池腹腔分流术 侧脑室腹腔分流术 交通性脑积水 术后并发症 

分 类 号：R742.7[医药卫生—神经病学与精神病学]