脑室-腹腔分流术后并发症的分析及治疗

Clinical analysis and treatment of complications after ventriculoperitoneal shunt

目的探讨脑室-腹腔分流术后并发症的诊断和治疗。方法回顾性分析我院采用V-P分流术治疗各种脑积水186例中,在术后2周到3年内发现的17例并发症的临床资料。结果 V-P分流术后并发症发生率为9.1%。分流管堵塞4例,颅内感染7例,颅内血肿4例,脑脊液引流过度2例。经过治疗后,12例痊愈,1例偏瘫,1例死亡,3例自动出院后死亡。结论脑室-腹腔分流术术前要充分做好手术准备,术中要严格消毒、规范操作,术后要密切关注并发症的发生与处理,才能降低手术并发症,提高治疗效果。

Objective To explore the diagnosis and treatment of postoperative complications after ventriculoperitoneal shunt （VP shunt ）. Methods The clinical data of 17 patients with complication after operation among 2 weeks to 3 years,in whom186 underwent VP shunt for a variety of hydrocephalus, were analyzed retrospectively. Results The total incidence of complication was 9. 1%. Of 17 patients, shunt tube obstruction in 4, intracranial infect in 7, intracranial hematoma in 4 and over drainage in 2. After treatment, 12 patients were cured, 1 with hemiplegia, 1 died and 3 died after being discharged. Conclusions Adequate preoperative preparation, strict disinfection and standard surgical procedure during operation, and close attention of the occurrence and treatment of the complication after surgery can prevent complications and improve curative effects.