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的效果比较

Comparison of effects of lumboperitoneal shunt and ventricle-peritoneum shunt in treatment of patients with communicating hydrocephalus

目的:比较腰大池-腹腔分流术与脑室-腹腔分流术治疗交通性脑积水患者的效果。方法:选取92例交通性脑积水患者作为研究对象,按照随机数字表法分为对照组和观察组各46例。对照组实施脑室-腹腔分流术治疗,观察组实施腰大池-腹腔分流术治疗,比较两组手术指标(手术时间、术后下床活动时间、住院时间)水平、治疗优良率和术后并发症发生率。结果:观察组手术时间、术后下床活动时间和住院时间均明显短于对照组,差异有统计学意义(P<0.05);观察组治疗优良率为95.65%(44/46),明显高于对照组的67.39%(31/46),差异有统计学意义(P<0.05);观察组并发症发生率为8.70%(4/46),明显低于对照组的26.09%(12/46),差异有统计学意义(P<0.05)。结论:腰大池-腹腔分流术治疗交通性脑积水患者可提高治疗优良率,降低手术指标水平和并发症发生率,其效果优于脑室-腹腔分流术治疗。

Objective:To compare effects of lumboperitoneal shunt and ventricle-peritoneum shunt in treatment of patients with communicating hydrocephalus.Methods:92 patients with communicating hydrocephalus were selected as the research objects,and were divided into control group and observation group according to the random number table method,each with 46 cases.The control group was treated with the ventricle-peritoneum shunt,while the observation group was treated with lumboperitoneal shunt.The levels of the surgical indicators(operating time,postoperative out-of-bed activity time,hospital stay),the good and excellent rate of treatment and the incidence of postoperative complications were compared between the two groups.Results:The operation time,postoperative out-of-bed activity time and hospital stay in the observation group were significantly shorter than those in the control group,and the differences were statistically significant(P<0.05).The good and excellent rate of treatment in the observation group was 95.65%(44/46),which was significantly higher than 67.39%(31/46)in the control group,and the difference was statistically significant(P<0.05).Further,the complication rate in the observation group was 8.70%(4/46),which was significantly lower than 26.09%(12/46)in the control group,and the difference was statistically significant(P<0.05).Conclusions:The lumboperitoneal shunt can improve the good and excellent rate of treatment in the patients with communicating hydrocephalus and reduce the levels of the surgical indicators and the incidence of complications.I Moreover,it is superior to ventricle-peritoneum shunt.