摘要
目的探讨脑室-腹腔分流术后常见并发症的预防措施及治疗方法。方法回顾性分析我院自2008年10月至2013年10月行行脑室-腹腔分流术治疗的380例脑积水患者的临床资料。结果本组分流术后出现并发症62例,发生率为16.3%。其中分流系统阻塞28例,占45.16%(28/62);感染23例(其中颅内感染17例,腹腔感染4例,皮肤感染2例),占37.10%(23/62);硬膜下血肿或积液6例,占9.68%(6/62);引流管外露3例,占4.84%(3/62);癫痫2例,占3.23%(2/62)。给予相应处理后,60例患者治愈,1例死于颅内感染,1例腹腔感染患者放弃治疗出院。结论对于行脑室-腹腔分流术的脑积水患者,详尽的术前评估、规范的手术操作和分流管的合理选择是预防术后并发症发生的有效手段,出现并发症后及时有效处理能取得较好疗效。
Objective To explore the preventive measures to prevent and treat the common complications after the ventriculoperitoneal shunt （VPS）. Methods The clinical data of 380 patients with hydrocephalus, who underwent VPS from October 2008 to October 2013, were analyzed retrospectively. Results There were common complications after VPS in 62 patients, of whom, 28 had shut system block, 23 infection, 6 subdural hematomas or effusion, 3 drainage pipe exposure and 2 epilepsy. Conclusions The detailed preoperative evaluation, standardizing VPS manipulation and reasonable choice of shunt device are effective methods to prevent the complications after VPS. The curative effect of the prompt and effective treatment on the common complications is good.
出处
《中国临床神经外科杂志》
2014年第6期331-333,共3页
Chinese Journal of Clinical Neurosurgery
关键词
脑积水
脑室-腹腔分流术
并发症
预防
治疗
Hydrocephalus
Ventriculoperitoneal shunt
Complications
Prevention
Treatment
