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婴儿低颅压脑积水的外科诊疗策略 被引量:3

Surgical treatment strategies of infants with low pressure hydrocephalus
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摘要 目的探讨婴儿低颅压脑积水(LPH)的临床特征、发病机制和治疗策略。方法回顾性分析3例婴儿LPH患者,3例患儿均采用可调压分流管行侧脑室腹腔分流术(VPS)进行治疗,观察治疗后颅内压、脑室、临床特征的变化情况。结果 3例患儿术后随访3~24个月后,反应迟钝、智力低下等脑功能障碍症状明显好转;CT/MRI复查显示,扩大脑室回缩。结论采用可调压分流管行VPS可能是治疗婴儿LPH的有效措施。 Objective To explore the clinical features,pathogenesis and the treatment strategy of infants with Low pressure hydrocephalus(LPH).Methods 3 infants with LPH were allocated.Ventriculo-peritoneal shunt(VPS)with pressure-adjustable valves was adopted to treat the infants,The changes of intracranial pressure,ventricle and clinical features were observed after treatment.Results 3 infants were followed up for 3 to 24 months.The brain dysfunction was obviously improved and the enlarged ventricles retracted in 3 infants.Conclusion VPS with pressure-adjustable may be effective in the treatment of infants with LPH.
作者 董辉 马云富 杨波 谌婧 刘金瑜 李振涛 DONG Hui;MA Yunfu;YANG Bo;CHEN Jing;LIU J inyu;LI Zhengtao() Neurosurgery Department, Third Affiliated Hospital of Zhengzhou University ,Zhengzhou 450052 ,China;) Department of Neurosurgery ,First AJfiliated Hospital of Zhengzhou University, Zhengzhou 450000, China)
出处 《中国实用神经疾病杂志》 2018年第9期984-986,共3页 Chinese Journal of Practical Nervous Diseases
基金 河南省卫计委科技攻关项目 编号:201602129
关键词 婴儿 低颅压脑积水 侧脑室腹腔分流术 可调压分流管 脑出血 Infant Low pressure hydrocephalus Ventriculo-peritoneal shunt Pressure adjustable valves Cerebral hemorrhage
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