可调压式分流管治疗小儿脑积水的临床观察

目的 总结可调压式分流管治疗小儿脑积水的经验,探讨其临床应用价值.方法 回顾性分析24例植入可调压式分流管治疗的不同类型脑积水患儿的病情转归.患儿均行脑室-腹腔分流术,根据术中脑脊液测压结果并结合患儿临床表现、影像学检查等因素设定调压阀开放压力的初始值,术后根据患儿临床表现的改善情况及影像学复查结果进行调压阀开放压...

Clinical efficiency of programmable shunt valve in treatment of hydrocephalus in children

Objective To summarize our experience and assess the clinical value of the programmable shunt valve in treatment of hydrocephalus in children.Methods A total of 24 children(at age of 8 months to 11.2 years old,and mean age of 5.7 years old) with hydrocephalus who underwent Ventriculo-peritoneal(V-P) shunt surgery and programmable valve implantation during operation were retrospectively analyzed.The opening pressure was settled based on intraoperative intraventricular pressure,clinical manifestation and imaging results.Postoperative regulator opening pressure was adjusted according to clinical improvement and imaging results after operation.Results After operation,adjusting valve pressure was performed for 0 to 4 times,mean 2.6 times.All the cases were followed up for 3 to 28 months,and their clinical symptoms were relieved or disappeared.CT examination showed size of ventricle was reduced compared with preoperative in all cases.Postoperative infection was found in 2 cases,and shunt obstruction in 1 case.Conclusion Programmable shunt valve has the advantages of individual pressure setting,and effectively preventing excessive and insufficient segregation postoperatively.