侧脑室-矢状窦分流在复杂性脑积水治疗中的应用及效果  

Application of lateral ventricle sagittal sinus shunt in treatment of complex hydrocephalus

作　　者：张宏兵 王晓峰 张荣军 张坤虎 刘帅 高林涛 王茂德[2] ZHANG Hong-bing;WANG Xiao-feng;ZHANG Rong-jun(Department of Neurosurgery,The People's Liberation Army 987th Hospital,Baoji 721004,China)

机构地区：[1]解放军第987医院神经外科,宝鸡721004 [2]西安交通大学第一附属医院神经外科

出　　处：《临床神经外科杂志》2019年第5期451-453,共3页Journal of Clinical Neurosurgery

摘　　要：目的探讨侧脑室-矢状窦分流在复杂性脑积水治疗中的应用及效果。方法回顾性分析采用侧脑室-矢状窦分流术治疗的10例复杂性脑积水患者的临床资料;根据患者术前评估及术中情况采取低压泵连接或直接连接两种手术方式。结果术后1个月,10例患者临床症状改善明显;3个月后6例患者可自行行走,3例患者因原发病仍卧床,腰穿脑脊液压力及常规、生化检查均正常;1例患者术后症状部分缓解,仍有高颅压症状,腰穿脑脊液压力偏高,术后3个月脑脊液检查完全正常后,再行脑室-腹腔分流术,术后症状消失。结论 侧脑室-矢状窦分流对脑脊液检查异常的复杂性脑积水的治疗,在恰当的病例选择下,有一定的临床效果。Objective To explore the application of lateral ventricle sagittal sinus shunt in treatment of complex hydrocephalus. Methods The clinical data of 10 patients with complex hydrocephalus underwent lateral ventricle sagittal sinus shunt were analyzed retrospectively. Results Ten patients who were complex hydrocephalus had some significant improvements in clinical symptoms by surgery after one month and 6 patients could walk by themselves after 3 months. Three patients were bedridden who were result in primary diseases. And one patient only had partly alleviates symptoms who still had higher cranial pressure. When the laboratory tests of cerebrospinal fluid was normal, the patient had ventricular peritoneal shunt again, then lumbar puncture pressure was normal. Conclusion The application of lateral ventricle sagittal sinus shunt in clinical treatment hydrocephalus is unconventional but for complex hydrocephalus is meaningful when choosing the right patient.

关 键 词：侧脑室-矢状窦分流 复杂脑积水 脑脊液异常 

分 类 号：R742.7[医药卫生—神经病学与精神病学]