脑室-腹腔分流术后分流故障诊断的研究进展  

Research progress on diagnosis of ventriculoperitoneal shunt malfunction

作　　者：舒兵 徐成仕[1] 熊南翔 陈劲草[1] SHU Bing;XU Cheng-shi;XIONG Nan-xiang;CHEN Jing-cao(Department of Neurosurgery,Zhongnan Hospital Affiliated to Wuhan University,Wuhan 430071,China)

机构地区：[1]武汉大学中南医院神经外科,武汉430071

出　　处：《临床神经外科杂志》2023年第1期114-116,120,共4页Journal of Clinical Neurosurgery

基　　金：湖北省技术创新专项重大项目(2018ACA139)。

摘　　要：脑室-腹腔(V-P)分流术是治疗脑积水最常用的方法,然而V-P分流术后并发分流管堵塞、感染和过度引流等发生率较高。引起分流故障的重要原因之一是分流管或阀门堵塞导致分流装置无法正常工作。一旦出现分流故障可能导致脑积水症状复发,往往需要进行二次分流调整手术或更换分流装置。目前对于分流故障引起的分流失败往往诊断困难且方法不一,国内外关于V-P分流术后分流故障的诊断技术不断发展,为此,本文将近年来应用较为广泛的诊断方式加以综述,为临床上尽早诊断分流故障提供简单、可靠的方法。Ventriculoperitoneal(V-P) shunt is the most commonly used treatment for hydrocephalus. However, the occurrence rate of complications including shunt tube blockage, infection and excessive drainage are high after operation. One important reason for shunt failure is the shunt pipe or valve blockage and the shunt device cannot work normally. Since the shunt malfunction may lead to the recurrence of hydrocephalus symptoms, it is often necessary to carry out secondary shunt adjustment surgery or replace the shunt device. At present, the diagnosis of shunt malfunction is often difficult and various. This paper reviewed the development of the diagnostic technology of V-P shunt malfunction in recent years, so as to provide simple and reliable means for clinical diagnosis of shunt malfunction.

关 键 词：脑室-腹腔分流术 分流故障 脑积水 诊断 

分 类 号：R651[医药卫生—外科学]