侧脑室-腹腔分流术治疗脑积水临床疗效分析

Clinical effects of ventriculo-peritoneal shunt on patients with hydrocephalus

目的探讨侧脑室-腹腔分流术治疗脑积水的临床效果。方法将96例脑积水患者按入院次序分为观察组(n=61)与对照组(n=35),均给予侧脑室-腹腔分流术治疗,观察组腹腔端采用C型穿刺针穿刺置管,对照组采用常规开腹置管,比较两组有效率、术中及术后情况。结果观察组有效率为91.8%(56/61),对照组为91.4%(32/35),两组比较差异无统计学意义(P>0.05);观察组手术时间显著短于对照组,术中出血量显著少于对照组,差异有统计学意义(P<0.01);观察组术后并发症发生率为8.2%(5/61),显著低于对照组的25.7%(9/35),差异有统计学意义(P<0.05)。结论早期侧脑室-腹腔分流手术治疗脑积水可获得良好治疗效果,采用C型穿刺针进行腹腔端穿刺置管可在获得相同疗效的基础上缩短手术时间、减少术中出血量,同时减少术后并发症。

Objective To discuss the clinical effects of ventriculo-peritoneal shunt on patients with hydrocephalus. Methods A total of 96 patients with hydrocephalus were divided into trial group （n = 61 ） and control group （n = 35 ） according to the hospital admission orders. All the patients were treated with ventriculo-peritoneal shunt. Catheter with type C needle was used to the trial group, and traditional open catheter to the control group. The clinical effects were compared between the two groups. Results The effective rate was 91.8% （56/61） in the trial group and 91.4% （32/35） in the control group, between which there was no statis- tical difference （P 〉 0.05 ）. The operative time of the trial group was significantly shorter than that of the control group. The intrao- perative bleeding volume was significantly less in the trial group than in the control group, which has statistical significance （P 〈0.01 ）. The incidence of postoperative complication in the trial group was 8.2% （5/61）, significantly lower than that （25.7%, i.e. 9/35） in the control group, the difference has statistical significance （P 〈 0.05）. Conclusion Ventriculo-peritoneal shunt is clinically effec- tive on hydrocephalus patients. Catheter with type C needle helps to reduce operation time, blood loss and postoperative complica- tions.