新型隐球菌性脑膜炎继发脑积水的外科治疗

Surgical Treatments for Secondary Hydrocephalus of Cryptococcal Meningitis

目的 新型隐球菌性脑膜炎所继发脑积水是造成严重并发症及死亡的主要原因 ,本文旨在探讨其手术治疗效果及并发症。方法 本院神经外科自 1980～ 2 0 0 2年收治新型隐球菌性脑膜炎合并脑积水 2 6例 ,11例患者接受脑室外引流术 ,15例行脑室腹腔分流术。结果 二者对脑积水治疗有效率无统计差别 ,但脑室腹腔分流术具有迅速安全 ,持续有效优点。结论 脑室腹腔分流术能安全有效减轻积水 ,改善症状 。

Objective To explore the efficacy and complications of surgical treatment for secondary hydrocephalus of cryptococcal menigitis. Methods The clinical data of 26 patients with secondary hydrocephalus of cryptococcal meningitis who underwent ventricular drainage (11 cases) and ventriculoperitoneal shunting (15 cases) procedures in our department from 1980 to 2002 were retrospectively reviewed. Results Both operation approaches had good effect on the secondary hydrocephalus, but ventriculoperitoneal shunting procedure was safer and more persistent. Conclusion Shunting procedure is a safe and effective therapy for hydrocephalus in patients with cryptococcal meningitis.