脑室腹腔分流术治疗婴儿脑积水120例

Ventriculo-peritoneal （V-P） shunt surgery of infants hydrocephalus： a clinical research.

目的 本研究对〈10个月的不同类型重度脑积水婴儿实施脑室腹腔分流术（V-P分流术）,并观察其临床疗效.方法 1996年至2009年河北省儿童医院神经外科收治年龄10个月以下婴儿脑积水120例,其中先天性脑积水20例;外伤后脑积水30例;自发性脑出血后脑积水15例;脑炎后脑积水43例;肿瘤所致脑积水12例;均采取脑室腹腔分流术.结果 120例患儿术后均恢复顺利,随访1-5年,脑室大小于术后3个月至2年恢复正常,智力发育与正常同龄儿比较无明显差别.结论 婴儿重度脑积水早期施行V-P分流术方法简单,并发症少,疗效满意.

Objective To study the clinical effect of ventriculo-peritoneal （V-P1） shunt surgery in infants aged below 10-months with kinds of serious hydrocephalus. Methods A retrospective survey in 120 cases with serioushydrocephalus： congenital hydrocephalus 20 cases, post-trauma hydrocephalus 30 cases, craniohemorrhage caused hydrocephalus 15 cases, hydrocephalus complicating purulent meningitis 43 cases, tumor caused 12 cases. Results 120 patients underwent V-P shunt placement for kinds of serious hydrocephalus result in goodness. Conclusions Early V-P shunt placement is an effective treatment for serious hydro- cephalus in infarlts.