腰大池-腹腔分流术与脑室-腹腔分流术治疗交通性脑积水患者临床疗效观察

Clinical observation of lumbar cistern-peritoneal shunt and ventricle-peritoneal shunt on patients with communicating hydrocephalus

目的:对比分析腰大池-腹腔分流术与脑室-腹腔分流术治疗交通性脑积水患者临床疗效。方法:选取2016年2月~2020年8月收治的68例交通性脑积水患者分为实验组和对照组,实验组采用腰大池-腹腔分流术治疗,对照组采用脑室-腹腔分流术治疗,比较两组临床疗效、临床指标、手术前后NIHSS评分、并发症发生率、二次手术率。结果:实验组治疗后临床疗效总有效率为94.12%,与对照组的76.47%相比显著提高(P<0.05);治疗组的手术时间、拔管时间、住院时间则明显低于对照组(P<0.05);术前两组NIHSS评分相比较无显著差异(P>0.05),实验组术后NIHSS评分与对照组相比更低(P<0.05);实验组术后并发症发生率为11.76%,相比对照组的32.35%显著降低(P<0.05)。结论:腰大池-腹腔分流术治疗交通性脑积水临床疗效显著,手术时间缩短,二次手术发生率和并发症发生率降低,促进患者康复。

Objective:To compare and analyze the clinical efficacy of lumbar cisterna-peritoneal shunt and ventricle-peritoneal shunt in the treatment of patients with communicating hydrocephalus;Methods:Select 68 cases of communicating hydrocephalus admitted Patients were divided into experimental group and control group.The experimental group was treated with lumbar cistern-peritoneal shunt,and the control group was treated with ventricular-peritoneal shunt.The two groups were compared with clinical efficacy,clinical indicators,NIHSS scores before and after surgery,complication rate,and secondary Operation rate;Results:The total effective rate of clinical curative effect in the experimental group was 94.12%,which was significantly higher than that in the control group(P<0.05).The operation time,extubation time and hospital stay were significantly shorter than those in the control group(P<0.05).There was no significant difference in the NIHSS score between the two groups(P>0.05).The postoperative NIHSS score in the experimental group decreased more significantly(P<0.05).The postoperative complication rate in the experimental group was 11.76%significantly lower than that in the control group(P<0.05);Conclusion:The lumbar cistern-peritoneal shunt has a significant clinical effect in the treatment of communicative hydrocephalus,shortening the operation time,reducing the incidence of secondary operations and complications,and promoting patient recovery.It is worthy of promotion.