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正常压力性脑积水的外科治疗
引用本文:刘续磊,张蕴增,杨峰,高福安,刘明昌,王魁,郝建,孙凯峰,苏绍臣.正常压力性脑积水的外科治疗[J].实用临床医学(江西),2007,8(3):65-66,68.
作者姓名:刘续磊  张蕴增  杨峰  高福安  刘明昌  王魁  郝建  孙凯峰  苏绍臣
作者单位:[1]济宁医学院附属金乡医院神经外科,山东金乡272200 [2]武警总医院神经外科,北京100039
摘    要:目的:探讨正常压力性脑积水的发病机理、手术指征及手术时机。方法:22例正常压力性脑积水患者采用脑室-腹腔分流术治疗。结果:随访6个月~2年,无一例因分流管所引起的感染、排斥反应及堵管等现象。术前症状消失或明显改善14例,好转6例,效果不明显但未加重2例。结论:对正常压力性脑积水,在出现典型的“三联症”之前尽早确诊,依据临床表现、影像学检查及腰穿检查选用压力适宜的分流管,及时行脑室一腹腔分流术是治疗正常压力性脑积水理想方法。

关 键 词:正常压力性脑积水  分流  外科手术
文章编号:1009-8194(2007)03-0065-02
修稿时间:2006-12-11

Exploration of Normal Pressure Cranial Hydrocephalus with Surgical Treatmeat
LIU Xu-lei,ZHANG Yun-zeng,YANG Feng,GAO Fu-an,LIU Ming-chang,WANG Kui,HAO Jian,SUN Kai-feng,SU Shao-chen.Exploration of Normal Pressure Cranial Hydrocephalus with Surgical Treatmeat[J].Practical Clinical Medicine,2007,8(3):65-66,68.
Authors:LIU Xu-lei  ZHANG Yun-zeng  YANG Feng  GAO Fu-an  LIU Ming-chang  WANG Kui  HAO Jian  SUN Kai-feng  SU Shao-chen
Abstract:Objective:To explore nosogenesis operative indication and opportunity of normal pressure cranial hydrocephalus.Methods: Twenty-two cases of normal pressure cranial hydrocephalus were reviewed.The patients were treated by ventriculo peritoneal shunt.Results: Ventriculo peritoneal shunt was an effective treatment for normal pressure cranial hydrocephalus.Conclusion: Diagnosed before typical trilogy of normal pressure cranial hydrocephalus,according to clinical manifestation.Image examination and lump puncture to select shunt duct,ventriculoperitoneal shunt is an ideal method for normal pressure cranial hydrocephalus.
Keywords:normal-pressure hydrocephalus  shunt  surgery
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