腰池-腹腔分流术治疗特发性颅内压增高症（附43例报告）

Lumboperitoneal shunt for idiopathic intracranial hypertension （43 cases）

目的分析43例腰池-腹腔分流术治疗特发性颅内压增高症患者的临床资料及手术效果，探讨腰池-腹腔分流术治疗特发性颅内压增高症的临床进展。方法术前常规检查视力、视野、眼底像并行腰穿测压和相关内分泌及影像学检查，根据术前视力情况进行分组同时对比术后随访资料，评价腰池-腹腔分流术治疗特发性颅内压增高症的临床意义。结果术前视力在0．1≤视力〈0．5的患者术后视力恢复率达86．3％，与其他组别对比差异有统计学意义。结论腰池-腹腔分流术治疗特发性颅内压增高症有明显疗效，尤其是对于0．1≤视力〈0．5的患者应积极手术治疗。

Objective Introducing experiences of 43 idiopathic intraeranial hypertension cases treated by lumboperitoneal shunt from 2000 to 2009. Method 43 adult patients were included in our study with 38 female and 5 male. All of 86 eyes presented deteriorating of visual acuity. Recording of CFS pressure from 250 to 400 mmH20, average value 300 mmH20. Empty sella was detected by MRI in these 43 patients. Results Of ACTH, PRL, GH, TSH, LH, FSH were in normal arrangement. Results 43 patients were followed up at a mean time of 5.5 years post - operatively. In 86 eyes,61 improved significantly and other 25 had no change. Visual acuity ranged from 0. 1 to 0. 5 before operation had good results after operation compared with others. Conclusions Lumboperitoneal shunt is effective for idiopathic intracranial hypertension, especially for visual acuity ranged from 0. 1 to 0. 5.