|本期目录/Table of Contents|

[1]王一芳,谭启富,许爱刚,等.应用可调压分流管行腰大池腹腔分流治疗创伤后脑积水的临床分析[J].医学研究与战创伤救治(原医学研究生学报),2015,17(05):464-466.[doi:10.3969/j.issn.1672-271X.2015.05.005]
　WANG Yi-fang,TAN Qi-fu,XU Ai-gang,et al.Treatment of post-traumatic hydrocephalus with lumboperitoneal shunts[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2015,17(05):464-466.[doi:10.3969/j.issn.1672-271X.2015.05.005]
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应用可调压分流管行腰大池腹腔分流治疗创伤后脑积水的临床分析()
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《医学研究与战创伤救治》（原医学研究生学报）[ISSN:1672-271X/CN:32-1713/R]

卷:
第17卷
期数:
2015年05期
页码:
464-466
栏目:
出版日期:
2015-09-30

文章信息/Info

Title:
Treatment of post-traumatic hydrocephalus with lumboperitoneal shunts
作者:
王一芳1; 谭启富2; 许爱刚1; 王正伟1; 吴章泽1; 陈昌1
1.210002 江苏南京，解放军454医院神经外科；2.210002 江苏南京，南京军区南京总医院神经外科
Author(s):
WANG Yi-fang1;  TAN Qi-fu2;  XU Ai-gang1;  WANG Zheng-wei1;  WU Zhang-ze1;  CHEN Chang1
1.Department of Neurosurgery， 454 Hospital of PLA， Nanjing， Jiangsu 210002， China； 2.Department of Neurosurgery， Nanjing General Hospital of Nanjing Military Command， Nanjing， Jiangsu 210002， China
关键词:
脑积水; 腰大池腹腔分流术; 脑室腹腔分流术
Keywords:
hydrocephalus;  lumboperitoneal shunt;  ventriculoperitoneal shunt
分类号:
R742.7
DOI:
10.3969/j.issn.1672-271X.2015.05.005
文献标志码:
A
摘要:
目的 评估应用可调压分流管行腰大池腹腔分流（lumboperitoneal shunts，LP）治疗创伤后脑积水（post-traumatic hydrocephalus，PTH）的疗效与并发症。方法 回顾性分析某院2008年1月-2014年1月采用可调压分流管行LP治疗的52例PTH的病例资料，并与同期采用可调压分流管行脑室腹腔分流（ventriculoperitoneal shunts，VP）治疗的65例PTH的病例资料进行比较。结果 LP组中，46例临床症状改善（有效率88.5%）；6例疗效不佳，其中4例（7.7%）出现并发症，为分流管堵塞3例、脑脊液感染1例。VP组中，59例临床体征改善（有效率90.8%），6例疗效不佳；其中15例（23.1%）出现并发症，为分流管堵塞9例、脑脊液感染2例、脑内穿刺道血肿1例、癫痫1例、脑室内出血2例。两组间疗效比较差异无统计学意义（P>0.05），但LP组并发症的发生率明显低于VP组（P＜0.05）。结论 采用可调压分流管行LP分流治疗PTH的疗效肯定，并发症少，临床上可积极应用。
Abstract:
Objective To investigate the efficacy and complications of lumboperitoneal (LP) shunts with programmable valve in post-traumatic hydrocephalus (PTH). Methods The clinical data of patients with PTH underwent LP shunts (52 cases) and ventriculoperitoneal (VP) shunts (65cases) were analyzed retrospectively from January 2008 to January 2014. Results In LP shunts group， postoperative clinical symptoms were improved in 46 cases (88.5%) and unchanged in 6 cases， and the postoperative complications were found in 4 cases (7.7%)： shunt blockage (3 cases) ， infection (1 case). In VP shunts group， postoperative clinical symptoms were improved in 59 cases (90.8%) and unchanged in 6 cases， and the postoperative complications were found in 15 cases (23.1%)：shunt blockage (9 cases) ， infection (2 cases)， intrabrain hemorrhage (1 case)， epilipsy (1 case)， intraventricular hemorrhage (2 cases). There had no differences (P>0.05) of the therapeutic effects between two groups. However， the occurrence rates of postoperative complications with LP shunts were lower than with VP shunts (P<0.05). Conclusion The efficacy of LP shunts with programmable valve in PTH is affirmed， and the complications are few.

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相似文献/References:

[1]杨绮帆,钱锁开,夏 瑜,等.同期钛金属网修补和分流术在颅脑损伤后颅骨缺损并脑积水中的应用[J].医学研究与战创伤救治(原医学研究生学报),2014,16(02):150.[doi:10.3969/j.issn.1672-271X.2014.02.012]
　YANG Qi-fan,QIAN Suo-kai,XIA Yu,et al.Synchronization operation for treatment of patient with skull defect complicated hydrocephalus[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2014,16(05):150.[doi:10.3969/j.issn.1672-271X.2014.02.012]

备注/Memo

备注/Memo:
南京军区医学科技创新课题（11MA057）
更新日期/Last Update: 2015-09-20