腰大池-腹腔分流术与侧脑室-腹腔分流术治疗交通性脑积水临床效果的对比分析

Comparative analysis of clinical effects of lumbar cistern-peritoneal shunt and lateral ventricle-peritoneal shunt in the treatment of communicating hydrocephalus

目的对比并分析腰大池-腹腔分流术与侧脑室-腹腔分流术治疗交通性脑积水的临床效果。方法 76例交通性脑积水患者,随机分为观察组和对照组,各38例。对照组给予侧脑室-腹腔分流术治疗,观察组给予腰大池-腹腔分流术治疗。观察并比较两组患者治疗效果、并发症发生率。结果观察组显效11例、有效25例、无效2例;对照组显效10例、有效19例、无效9例。观察组治疗总有效率(94.74%)高于对照组(76.32%),差异具有统计学意义(P<0.05)。对照组发生堵管8例、引流过度6例、感染4例;观察组发生堵管3例、引流过度2例、感染1例。观察组并发症发生率(15.79%)低于对照组(47.37%),差异具有统计学意义(P<0.05)。结论在治疗交通性脑积水时,采用腰大池-腹腔分流术的治疗效果优于侧脑室-腹腔分流术,并发症少,可以在临床中推广应用。

Objective To compare and analyze the clinical effect of lumbar cistern-peritoneal shunt and lateral ventricle-peritoneal shunt in the treatment of communicating hydrocephalus.Methods A total of 76 patients with communicating hydrocephalus were randomly divided into observation group and control group,with 38 cases in each group.The control group was treated with lateral ventricle-peritoneal shunt,and the observation group was treated with lumbar cistern-peritoneal shunt.The treatment effect and incidence of complications in two groups was observed and compared.Results The observation group had 11 excellent cases,25 effective cases,and 2 ineffective cases,while the control group had 10 excellent cases,19 effective cases,and 9 ineffective cases.The observation group had higher total treatment effective rate(94.74%)than the control group(76.32%),and the difference was statistically significant(P<0.05).The control group had 8 cases of blockage,6 cases of excessive drainage and 4 cases of infection,while the observation group had 3 cases of blockage,2 cases of excessive drainage and 1 case of infection.The observation group had lower incidence of complications(15.79%)than the control group(47.37%),and the difference was statistically significant(P<0.05).Conclusion In the treatment of communicating hydrocephalus,the effect of lumbar cistern-peritoneal shunt is better than that of lateral ventricle-peritoneal shunt.It has fewer complications,and can be popularized and applied in clinic.