摘要
目的探讨脑积水患儿行侧脑室-腹腔分流术后发生感染的影响因素,为临床诊断及治疗提供依据。方法回顾性分析医院2011年1月-2013年4月行侧脑室-腹腔分流术的74例脑积水患儿临床资料,分析患儿手术年龄、病因、术者水平等因素对术后发生感染的影响。结果 74例患儿中3例随访中断、3例因肿瘤复发死亡,其余68例患儿共行脑室腹腔分流术80次,其中分流术后感染8例,感染率为11.76%,分流管穿破空腔脏器合并颅内感染1例。结论分流术后感染多发生于术后早期,手术年龄小是分流术后感染发生的危险因素,不同病因及不同术者分流术后感染的发生率差异无统计学意义。
OBJECTIVE To explore the influencing factors for postoperative infections in the children with hydrocephalus undergoing lateral ventricle peritoneal shunt so as to provide guidance for clinical diagnosis and treatment.METHODS The clinical data of 74 children with hydrocephalus who underwent the lateral ventricle peritoneal shunt in the hospital from Jan 2011 to Apr 2013 were retrospectively analyzed.The influencing factors for the postoperative infections,including the age,etiology,and skill of surgeon,were observed.RESULTS Of the 74 children involved in the follow-up,3cases were interrupted,3cases died of tumor recurrence,and the rest of 68 cases underwent the ventriculoperitoneal shunt for 80 times,of whom 8(11.76%)had the postoperative infections,and 1had the shunt tube-pierced hollow organs complicated with intracranial infections.CONCLUSION The postoperative infections frequently occur in the early stage after the shunt.The young age at surgery is the risk factor for the postoperative infections.There is no statistically significant difference in the incidence of the postoperative infections among the patients with different etiologies or the patients for whom the surgeons at different skill level take the surgery.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2015年第21期4968-4970,共3页
Chinese Journal of Nosocomiology
基金
新疆省自然科学基金资助项目(201258041)
关键词
脑积水
侧脑室-腹腔分流术
感染
Hydrocephalus
Lateral ventricle peritoneal shunt
Infection