腰大池-腹腔分流术治疗交通性脑积水的临床疗效分析

目的分析腰大池-腹腔分流术（LPS）治疗交通性脑积水的临床疗效。 方法收集吉林大学第一医院神经创伤外科自2018年8月至2021年8月收治的32例行LPS治疗的交通性脑积水患者的临床资料，观察患者术前、术后一般情况及术后影像学检查、临床表现等，分析LPS治疗交通性脑积水的临床疗效。 结果32例患者术后GCS评分、KPS评分均高于术前，Evan’s指数低于术前，差异均有统计学意义（P<0.05）。23例（71.88%）患者的Salmon预后有所改善，9例（28.12%）患者无变化或症状恶化。 结论LPS治疗对于治疗椎管内无堵塞性疾病的交通性脑积水有良好治疗效果。

Clinical efficacy analysis of lumboperitoneal shunt in the treatment of communicating hydrocephalus

ObjectiveTo analyze the clinical efficacy of lumboperitoneal shunt (LPS) in the treatment of communicating hydrocephalus. MethodsThe clinical data of 32 patients with communicating hydrocephalus who underwent LPS surgery in the Neurotramasurgery Department of the First Hospital of Jilin University from August 2018 to August 2021 were selected. The general conditions before and after operation, postoperative imaging examination and clinical manifestations were observed, and the clinical efficacy of LPS in the treatment of communicating hydrocephalus was analyzed. ResultsThe postoperative GCS score and KPS score of 32 patients were higher than the preoperative scores, and Evan's index was lower than the preoperative scores, and the difference was statistically significant (P<0.05). The prognosis of Salmon was improved in 23 patients (71.88%), and there was no change or deterioration of symptoms in 9 patients (28.12%). ConclusionLPS is an effective surgery as a treatment of communicating hydrocephalus without occlusive diseases in the spinal canal.