脑室-腹腔分流术治疗结核性脑膜炎并重度脑积水10例

Ventriculo-peritoneal shunt in the treatment of tuberculous meningitis patients with severe hydrocephalus:report of 10 cases

目的探讨脑室-腹腔分流术治疗结核性脑膜炎并发重度脑积水的效果。方法对10例结核性脑膜炎并发重度脑积水的患者进行脑室-腹腔分流术治疗,观察其疗效。结果 10例患者中,9例术后意识障碍好转,颅内压增高症状明显缓解,1例头痛、头晕缓解不明显,但经治疗4 d后逐渐缓解。1例术后2个月后出现分流管阻塞,无一例发生结核性腹膜炎。结论脑室-腹腔分流术是治疗结核性脑膜炎并重度脑积水的有效方法之一。

Objective To investigate the effect of Ventriculo-peritoneal shunt in the treatment of tuberculous meningitis patients with severe hydrocephalus. Methods Ten tuberculous meningitis patients with severe hydrocephalus received Ventriculo-peritoneal shunt. Their effect were observed. Results In 10 patients ,the disturbance of consciousinss in 9 patients were improved after treatment; symptoms of increased intracranial pressure were relieved. In one patient the improvement of headache and dizziness was not obvious, but gradually improved after 4 days of treatment. Shunt tube obstruction was found in one patient 2 months after treatment, and no case of tubercular peritonitis was found. Conclusion Ventriculo-peritoneal shunt is an effective treatment of tuberculous meningitis patients with severe hydrocephalus.