侧脑室-腹腔分流术治疗外伤性脑积水术后并发症临床观察

Clinical observation of postoperative complications of ventriculoperitoneal shunt for traumatic hydrocephalus

目的探讨侧脑室-腹腔分流术用于治疗外伤性脑积水引起的术后并发症及其防治措施。方法选择武警浙江总队杭州医院自2014年5月至2015年4月期间收治的外伤性脑积水患者78例,均予以实施侧脑室-腹腔分流术,临床观察术后并发症情况。结果所有患者中,术后出现分流管阻塞3例,术后感染5例,颅内血肿3例,消化道症状2例,分流过度或不足2例,术后并发症总发生率为19.23%。结论侧脑室-腹腔分流术用于治疗外伤性脑积水所引起的术后并发症多种多样,其中分流管阻塞、术后感染和颅内血肿等发生率较高,手术医师应当制定相对完善的手术方案,以防治各种术后并发症的发生。

Objective To investigate postoperative complications of ventriculoperitoneal shunt in treating traumatic hydrocephalus, and its prevention measures. Methods Seventy-eight traumatic hydrocephalus patients in Hangzhou hospital of Zhejiang armed police corps from May 2014 to April 2015 were selected in this study. All patients underwent ventriculoperitoneal shunt operation. The postoperative complications were observed. Results Among all the patients, shunt obstruction occurred in 3 cases, while infection in 5 cases, intracranial hematoma in 3 cases, digestive tract symptoms in 2 cases, over drainage or insufficient drainage in 2 cases. Total incidence rate of postoperative complications was 19.23%. Conclusion There are variety of complications after ventriculoperitoneal shunt for traumatic hydrocephalus, among which shunt obstruction, postoperative infection and intracranial hematoma have the higher incidence rate. Surgeons should make relative perfect operation plan to prevent the occurrence of postoperative complications.