摘要
目的分析在腹腔镜监视下应用新型腹腔穿刺针行脑室腹腔分流术治疗肥胖脑积水患者的可行性和有效性。方法回顾性分析吉林大学第一医院神经创伤外科自2012年3月至2014年10月共收治的22名肥胖脑积水患者治疗数据,分析新型腹腔穿刺针联合腹腔镜将脑室腹腔分流管腹腔端置入肝膈间隙内的手术方法及注意事项。结果 22例VPS患者手术操作时间平均为(27±5.2)min,腹腔镜监视下置入分流管腹腔端时间平均为(10±1.5)min。术后1周内22例患者恢复均较好,术后随访并未出现感染及分流管堵塞等并发症。术后1周检查头部CT示脑室系统恢复良好16例,好转4例,无变化2例。术后1个月症状明显好转15例,基本恢复至正常7例。结论应用新型腹腔穿刺针联合腹腔镜进行脑室腹腔分流术(VPS)腹腔端置入治疗肥胖脑积水患者,具有较多优势,如创伤小、操作方法简便、减少并发症的发生等。
Objective To explore the clinical effects of VPS on the treatment to hydrocephalus in obese patients. Methods Twenty-two cases of hydrocephalus in children treated by VPS between 2012 and 2014 in the First Hospital of Jilin University are retrospectively analyzed. Results All the cases underwent successful surgerys and got access to uneventful recovery with no in-fection and blockage of shunt valve during hospitalization. Conclusion Our novel approach may significantly reduce the risk of malfunction complications in the obese patients.
出处
《中华神经创伤外科电子杂志》
2015年第3期17-19,共3页
Chinese Journal Of Neurotraumatic Surgery：Electronic Edition
基金
省卫生厅科技创新课题项目(2013S016)
关键词
脑积水
腹腔镜
腹腔分流术
腹穿针
肥胖患者
Hydrocephalus
Laparoscopy
Ventriculoperitoneal shunt
Peritoneocentesis trocar
Obese patient
