摘要
目的探讨脑室-腹腔分流术治疗脑积水的临床疗效和常见并发症。方法对36例于2008年1月至2012年12月进行了脑室-腹腔分流术治疗的脑积水患者进行术后随访,根据Salmon提出的疗效评定标准对患者的神经功能恢复程度进行评分,并对并发症进行分析。结果所有患者均获得随访3个月～4年。术后随访时,根据Salmon的疗效评定标准评分,基本恢复正常22例,明显好转7例,轻度好转4例,无变化3例。7例(19.4%)患者出现术后并发症。3例(8.3%)发生术后分流管堵塞,2例(5.6%)感染,硬膜下血肿1例(2.8%)及硬膜下积液1例(2.8%),经二次手术后恢复。结论脑室-腹腔分流术是治疗脑积水的有效外科方法,通过积极预防有望降低较高的术后并发症。
Objective To investigate the clinical efficacy and common complications of ventriculoperitoneal shunt for the surgical treatment of hydrocephalus. Methods Thirty-six patients with hydrocephalus and received ventriculoperitoneal shunt treatment from January 2008 to December 2012 were followed up. According to the therapeutic effect evaluation standard of Salmon, patients＇ neural functional recovery was evaluated, and their incidence of complications was analyzed. Results All patients were followed up for 3 months to 4 years. Among them, 22 cases recovered, 7 cases improved significantly, 4 cases got mild improvement, and 3 cases remained unrecovered. On the other hand, 7 cases （19.4%） got postoperative complications, including 3 cases （8.3%） of postoperative blockage, 2 cases （5.6%） of infection, 1 case （2.8%） of subdural hematoma and one case （2.8%） of subdural effusion. Complications were cured after second operation. Conclusions Ventriculoperitoneal shunt is an effective surgical method for the treatment of hydrocephalus, and active prevention is expected to reduce the postoperative complications.
出处
《临床医学工程》
2013年第7期817-818,共2页
Clinical Medicine & Engineering
关键词
脑积水
并发症
脑室-腹腔分流术
Hydrocephalus
Complications
Ventriculoperitoneal shunt
