脑室腹腔分流及腰大池腹腔分流治疗创伤后交通性脑积水的研究  

作　　者：宋伟正[1] 王鹏[1] 程书文 

机构地区：[1]成都市第五人民医院神经外科,四川成都611130

出　　处：《湖南中医药大学学报》2018年第A01期12-13,共2页Journal of Hunan University of Chinese Medicine

基　　金：四川省卫计委课题《神经外科术后颅内感染的诊断、治疗方式及治愈标准的研究》(150025)。

摘　　要：目的探讨可调压脑室腹腔分流(VPS)及腰大池腹腔分流(LPS)治疗创伤后交通性脑积水的临床效果。方法对140例经VPS或LPS治疗的创伤后交通性脑积水患者的病例资料和治疗效果进行回顾分析。结果LPS较VPS手术时间缩短,两组均无过度分流患者,但VPS组堵管、感染、癫痫/出血的并发症高于LPS组。虽然LPS组的有效率略高于VPS组,但两组的有效率的差异无统计学显著性。结论若治疗创伤后交通性脑积水诊断明确、无明显LPS手术禁忌,LPS应作为首选。Objective To study the effects of treatment of post-traumatic communicating hydrocephalus by ventriculoperitoneal shunt and lumboperitoneal shunt with external regulator.Methods 138 cases of post-traumatic communicating hydrocephalus adopted ventriculoperitoneal shunt or lumboperitoneal shunt,and the clinical data were retrospectively analyzed.Results The duration of operation of LPS is shorter than that of VPS.Over drainage was not seen in the 140 cases.Some complications of VPS,such as obstruction,infection,epilepsy and hemorrhage,are more frequent than those in LPS.Although there is a higher effective rate in LPS than in VPS,the difference are not statistically significant.Conclusions If there is a definitely right post-traumatic communicating hydrocephalus diagnosis with no LPS contraindication,LPS is a better choice.KEY WORDS Ventriculoperitoneal shunt;Lumboperitoneal shunt;Post-traumatic;Communicating hydrocephalus

关 键 词：腰大池-腹腔分流术 脑室-腹腔分流术 颅脑创伤后 交通性脑积水 

分 类 号：R742.705[医药卫生—神经病学与精神病学]