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术前指标对正常颅压脑积水分流手术效果的预测

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摘要 目的探讨正常颅压脑积水患者行脑室-腹腔分流手术时术前观察的敏感指标对术后疗效的影响。方法通过对我院2000年至2007年收治的44例脑室-腹腔分流术后患者的临床资料进行回顾性分析,以首发症状和手术前检测脑脊液压力作为敏感指标,评价其对手术效果的影响。结果以步态不稳为首发症状(有效率为88.9%)就诊和术前检测脑脊液压力在130~190mm H2O之间(有效率为83.4%)的患者术后有效率明显高于对照组(有效率分别为28.9%和27.3%)。结论首发症状和术前脑脊液压力测定可以预测脑室一腹腔分流手术的疗效。
出处 《中国综合临床》 2009年第5期542-544,共3页 Clinical Medicine of China
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