AIM:To investigate whether percutaneous endoscopic gastrostomy (PEG) tube placement is safe in patients with ventriculoperitoneal (VP) shunts.METHODS: This was a retrospective study of all patients undergoing PEG inse...AIM:To investigate whether percutaneous endoscopic gastrostomy (PEG) tube placement is safe in patients with ventriculoperitoneal (VP) shunts.METHODS: This was a retrospective study of all patients undergoing PEG insertion at our institution between June 1999 and June 2006. Post-PEG complications were compared between two groups according to the presence or absence of VP shunts. VP shunt infection rates, the interval between PEG placement and VP shunt catheter insertion, and long-term follow-up were also investigated.RESULTS: Fifty-five patients qualified for the study. Seven patients (12.7%) had pre-existing VP shunts. All patients received prophylactic antibiotics. The complication rate did not differ between VP shunt patients undergoing PEG (PEG/VP group) and non-VP shunt patients undergoing PEG (control group) [1 (14.3%) vs 6 (12.5%), P=1.000]. All patients in the PEG/VP group had undergone VP shunt insertion prior to PEG placement. The mean interval between VP shunt insertion and PEG placement was 308.7 d (range, 65-831 d). The mean follow-up duration in the PEG/VP group was 6.4 mo (range, 1-15 mo). There were no VP shunt infections, although one patient in the PEG/VP group developed a minor peristomal infection during follow-up.CONCLUSION: Complications following PEG placement in patients with VP shunts were infrequent in this study.展开更多
目的观察脑积水患者应用脑室腹腔分流术同期颅骨修补术治疗的效果。方法选取2017年1月至2018年10月本院收治的58例脑积水患者,采用随机数字表法分为观察组(n=29)和对照组(n=29)。对照组予以脑室腹腔分流后期颅骨修补治疗,观察组予以脑...目的观察脑积水患者应用脑室腹腔分流术同期颅骨修补术治疗的效果。方法选取2017年1月至2018年10月本院收治的58例脑积水患者,采用随机数字表法分为观察组(n=29)和对照组(n=29)。对照组予以脑室腹腔分流后期颅骨修补治疗,观察组予以脑室腹腔分流同期颅骨修补治疗。比较两组格拉斯哥预后量表(Glasgow outcome scale,GOS)、格拉斯哥昏迷评分法(Glasgow coma scale,GCS)评分及术后并发症情况。结果两组患者术后GOS、GCS评分均高于术前,且观察组高于对照组,差异有统计学意义(P<0.05);观察组术后并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论针对脑积水患者,选择脑室腹腔分流术同期颅骨修补术治疗效果显著,可有效减少术后意志障碍的发生和并发症发生率,改善患者预后,值得临床推广。展开更多
文摘AIM:To investigate whether percutaneous endoscopic gastrostomy (PEG) tube placement is safe in patients with ventriculoperitoneal (VP) shunts.METHODS: This was a retrospective study of all patients undergoing PEG insertion at our institution between June 1999 and June 2006. Post-PEG complications were compared between two groups according to the presence or absence of VP shunts. VP shunt infection rates, the interval between PEG placement and VP shunt catheter insertion, and long-term follow-up were also investigated.RESULTS: Fifty-five patients qualified for the study. Seven patients (12.7%) had pre-existing VP shunts. All patients received prophylactic antibiotics. The complication rate did not differ between VP shunt patients undergoing PEG (PEG/VP group) and non-VP shunt patients undergoing PEG (control group) [1 (14.3%) vs 6 (12.5%), P=1.000]. All patients in the PEG/VP group had undergone VP shunt insertion prior to PEG placement. The mean interval between VP shunt insertion and PEG placement was 308.7 d (range, 65-831 d). The mean follow-up duration in the PEG/VP group was 6.4 mo (range, 1-15 mo). There were no VP shunt infections, although one patient in the PEG/VP group developed a minor peristomal infection during follow-up.CONCLUSION: Complications following PEG placement in patients with VP shunts were infrequent in this study.
文摘目的观察脑积水患者应用脑室腹腔分流术同期颅骨修补术治疗的效果。方法选取2017年1月至2018年10月本院收治的58例脑积水患者,采用随机数字表法分为观察组(n=29)和对照组(n=29)。对照组予以脑室腹腔分流后期颅骨修补治疗,观察组予以脑室腹腔分流同期颅骨修补治疗。比较两组格拉斯哥预后量表(Glasgow outcome scale,GOS)、格拉斯哥昏迷评分法(Glasgow coma scale,GCS)评分及术后并发症情况。结果两组患者术后GOS、GCS评分均高于术前,且观察组高于对照组,差异有统计学意义(P<0.05);观察组术后并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论针对脑积水患者,选择脑室腹腔分流术同期颅骨修补术治疗效果显著,可有效减少术后意志障碍的发生和并发症发生率,改善患者预后,值得临床推广。
