可调压微创腰大池-腹腔分流术治疗交通性脑积水的临床价值

Treatment of communicating hydrocephalus with lumboperitoneal shunt via variable catheter percutaneous puncture

目的探讨体外可调压分流管经皮穿刺腰大池-腹腔分流术治疗交通性脑积水的临床价值。方法对23例各种原因引起的交通性脑积水患者行体外可调压分流管经皮穿刺腰大池．腹腔分流术，评价此手术与传统手术的优越性。结果随访3—18月，23例患者脑积水均消失；CT检查见脑室均恢复正常，无分流过度或不足表现；并发症少。结论体外可调压分流管经皮穿刺腰大池一腹腔分流术治疗交通性脑积水，疗效确切，无创精确调压，手术创伤小，并发症少。术后低颅压症状轻。

Objective To investigate the advantages of the therapy of communicating hydrocephalus by lumboperitoneal （L-P） shunt via extro variable catheter pereutaneous puncture. Methods 23 patients with communicating hydrocephalus caused by various kinds of causes were collected and treated by L-P shunt via variable catheter pcrcutaneous puncture. Resutls During the 3 - 18 months follow-up periods, the clinical effects of all 23 patients were obvious. There were few complications. The patients＇ ventricle was recovered well demonstrated by CT examination, and no excessive or insufficient shunt symptoms were detected. Conclusions The surgical effects of L-P shunt via variable catheter percutaneous puncture are superior to minimal trauma L-P shunt via settled threshold catheter and traditional ventriculoperitoneal shunt.