摘要
目的评估反麦氏点入路与上腹部正中入路对脑室腹腔分流术后腹腔端堵塞的发生情况。方法我科2014年5月-2018年5月75例因脑积水行脑室腹腔分流术患者分为两组,A组45例行上腹部正中入路放置引流管腹腔端,B组30例行反麦氏点入路放置引流管腹腔端。两组性别、年龄、病因组成和脑脊液蛋白含量基线无差异。对两组术后腹部分流管堵塞的发生率进行统计学分析。结果A组术后远期5例(11.1%)发生腹腔端堵塞,B组术后未发生远期腹腔端堵塞,两组差异有统计学意义(P=0.021)。结论反麦氏点入路优于上腹正中入路,可以作为脑室腹腔分流术的常规入路。
Objective To access the long-term clinical outcomes of the anti-McBurney point approach versus the subxiphoid approach for ventriculoperitoneal shunt.Methods Clinical data about 75 cases who underwent ventriculoperitoneal shunt surgery from May 2014 to May 2018 in our center for hydrocephalus were divided into two groups.Shunt catheters in group A(n=45)were placed by using subxiphoid approach,and catheters in group B(n=30)by anti-McBurney point approach.There was no significant difference in age,gender,pathogenesis and cerebrospinal fluid protein content between the two groups.Incidence of shunt blockage was compared between the two methods.Results There was significant difference in incidence of postoperative long-term shunt blockage between the two groups[group A:5 cases(11.1%)vs group B:0 case(0),P=0.021].Conclusion The anti-McBurney approach is superior to the subxiphoid approach and it can be used as an routine method for ventriculoperitoneal shunt placement.
作者
刘磊
武琛
余新光
马陈建
孟祥辉
LIU Lei;WU Chen;YU Xinguang;MA Chenjian;MENG Xianghui(Department of Neurosurgery,the First Medical Center,Chinese PLA General Hospital,Beijing 100853,China)
出处
《解放军医学院学报》
CAS
2019年第8期764-766,775,共4页
Academic Journal of Chinese PLA Medical School
关键词
脑积水
脑室腹腔分流术
术后堵塞
反麦氏点
hydrocephalus
ventriculoperitoneal shunt
shunt blockage
anti-McBurney point
