婴儿低颅压脑积水的外科诊疗策略  

Surgical treatment strategies of infants with low pressure hydrocephalus

作　　者：董辉[1] 马云富[1] 杨波[2] 谌婧 刘金瑜[1] 李振涛 DONG Hui;MA Yunfu;YANG Bo;CHEN Jing;LIU J inyu;LI Zhengtao(） Neurosurgery Department, Third Affiliated Hospital of Zhengzhou University ,Zhengzhou 450052 ,China;） Department of Neurosurgery ,First AJfiliated Hospital of Zhengzhou University, Zhengzhou 450000, China)

机构地区：[1]郑州大学第三附属医院神经外科,河南郑州450052 [2]郑州大学第一附属医院神经外科,河南郑州450000

出　　处：《中国实用神经疾病杂志》2018年第9期984-986,共3页Chinese Journal of Practical Nervous Diseases

基　　金：河南省卫计委科技攻关项目;编号:201602129

摘　　要：目的探讨婴儿低颅压脑积水(LPH)的临床特征、发病机制和治疗策略。方法回顾性分析3例婴儿LPH患者,3例患儿均采用可调压分流管行侧脑室腹腔分流术(VPS)进行治疗,观察治疗后颅内压、脑室、临床特征的变化情况。结果 3例患儿术后随访3~24个月后,反应迟钝、智力低下等脑功能障碍症状明显好转;CT/MRI复查显示,扩大脑室回缩。结论采用可调压分流管行VPS可能是治疗婴儿LPH的有效措施。Objective To explore the clinical features,pathogenesis and the treatment strategy of infants with Low pressure hydrocephalus（LPH）.Methods 3 infants with LPH were allocated.Ventriculo-peritoneal shunt（VPS）with pressure-adjustable valves was adopted to treat the infants,The changes of intracranial pressure,ventricle and clinical features were observed after treatment.Results 3 infants were followed up for 3 to 24 months.The brain dysfunction was obviously improved and the enlarged ventricles retracted in 3 infants.Conclusion VPS with pressure-adjustable may be effective in the treatment of infants with LPH.

关 键 词：婴儿 低颅压脑积水 侧脑室腹腔分流术 可调压分流管 脑出血 

分 类 号：R742.7[医药卫生—神经病学与精神病学]