脑室-腹腔分流术治疗慢性继发性脑积水的临床分析

Clinical analysis of ventriculo-peritoneal(V-P) shunt in treatment of chronic obstructive hydrocephalus

目的探讨脑室-腹腔分流术(V-P)治疗慢性继发性脑积水的效果及并发症情况。方法选择本院行脑室-腹腔分流术治疗的48例慢性继发性脑积水患者的临床资料进行回顾性分析。结果全部患者中,基本恢复正常33例(68.8%),明显好转6例(12.5%),轻度改善7例(14.6%),无变化2例(4.1%),无死亡病例;术后3个月复查CT显示脑室缩小45例、无缩小3例;术后出现分流管堵塞5例、感染2例、腹痛1例、分流泵外露1例、硬膜下血肿1例。结论脑室-腹腔分流术治疗慢性继发性脑积水是一种简单、安全、有效的方法,在无手术禁忌证的前提下越早手术效果越好,术后并发症多为分流管堵塞、感染及过度分流等。

Objective To explore the treatment effect of V-P in treatment of chronic obstructive hydrocephalus and its postoperative complications. Methods The clinical data of 48 patients with chronic obstructive hydrocephalus who have been treated with V-P in our hospital were selected and analyzed.Results In the 48 cases of patients,33 cases（68.8%） nearly returned to normal,6 cases improved markedly（12.5%）,7 cases（14.6%）had mild improvement,2cases had no change and no death.The size of the ventricle of 45 patients have decreased by CT scan in 3 months′ operation,but no change in 3 cases. There were 5 cases of shunt tube blockage,2 cases of infection,1 case of abdominal pain,1 case of hunt pump exposing and 1 case of subdural hematoma after operation. Conclusion The treatment of V-P on chronic obstructive hydrocephalus is safe,simple and effective. On the premise of no contraindication, the sooner operation the better results. Shunt tube blockage, infection and excessive shunt are the common postoperative complications.