| 小儿脑室腹腔分流术后并发症的分析及处理 |
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| 引用本文： | 邓高燕, 张焯荣, 郑永钦, 刘斐, 胡超, 邓丽珊, 曾悦, 王间维, 邓志坚. 小儿脑室腹腔分流术后并发症的分析及处理[J]. 分子影像学杂志, 2015, 38(4): 362-364. doi: 10.3969/j.issn.1674-4500.2015.04.18 |
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| 作者姓名： | 邓高燕 张焯荣 郑永钦 刘斐 胡超 邓丽珊 曾悦 王间维 邓志坚 |
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| 作者单位： | 广州市妇女儿童医疗中心小儿外科，广东广州510623 |
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| 摘 要： | 目的分析小儿脑积水行脑室腹腔分流术术后并发症及处理方法。方法对我院近10年实施的282例脑室腹腔分流术后疗效、并发症分析。结果30例术后产生并发症，总并发症发生率为10.6%。其中分流管堵塞17例（腹腔端堵塞12例，脑室端堵塞4例，分流阀堵塞1例）。术后颅内感染4例，伤口感染3例。腹腔囊肿1例，肠穿孔2例，直肠内移位1例。脑室端脱出1例，硬膜下积液1例。结论小儿脑室腹腔分流术治疗小儿脑积水是安全、有效的，需掌握手术技巧，采取措施预防并发症。
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| 关 键 词： | 脑室腹腔引流术 脑积水 术后并发症 小儿 |
| 收稿时间： | 2015-08-21 |
Analysis and treatment of postoperative complications after ventricular-peritoneal shunt in children |
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| Gaoyan DENG, Zhuorong ZHANG, Yongqin ZHENG, Fei LIU, Chao HU, Lishan DENG, Yue ZENG, Jianwei WANG, Zhijian DENG. Analysis and treatment of postoperative complications after ventricular-peritoneal shunt in children[J]. Journal of Molecular Imaging, 2015, 38(4): 362-364. doi: 10.3969/j.issn.1674-4500.2015.04.18 |
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| Authors: | Gaoyan DENG Zhuorong ZHANG Yongqin ZHENG Fei LIU Chao HU Lishan DENG Yue ZENG Jianwei WANG Zhijian DENG |
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| Affiliation: | Department of Pediatric surgical, GuangZhou Women and Children's Medical Center, Guangzhou 510623, China |
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| Abstract: | Objective To analyze the postoperative complications and their treatment after ventricular-peritoneal shunt in children. Methods The information of 282 children with hydrocephalus who were performed ventricular-peritoneal shunt in recent 10 years was collected and the rate of postoperative complications was analyzed. Results The postoperative complications occurred in 30 cases (10.6%).There were obstructions of distal end in 12 cases, of proximate ends in 4 cases, and of the valve in 1 case. Postoperative infections occurred in 7 cases (4 cases had intracranial infection and 3 cases had wound infection). 1 case had abdominal cystic, 2 cases had intestinal perforations and 1 case had tube dislocation into the rectum. The proximate end was pulled out in 1 case and leakage of cerebrospinal fluid in 1 case. Conclusion The ventricular-peritoneal shunt is a safe and curative procedure for hydrocephalus in children. The postoperative complications should be prevented and treated appropriately. |
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| Keywords: | ventricular-peritoneal shunt hydrocephalus postoperative complications children |
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