不同分流方式在正常颅内压脑积水患者中的临床效果观察

目的 探讨不同分流方式(脑室腹腔分流和腰大池腹腔分流)在正常颅内压脑积水患者中的应用效果差异.方法 选择本院收治的正常颅内压脑积水患者80例,分为脑室腹腔分流组和腰大池腹腔分流组,各40例,分别实施脑室腹腔分流和腰大池腹腔分流治疗脑积水.观察两组症状改善情况、评定两组预后,观察术后并发症.结果 脑室腹腔分流组步态不稳改善率(64.8％ vs.60.5％)、小便失禁改善率(60.7％ vs.55.6％)和进展性痴呆改善率(72.7％ vs.68.7％)与腰大池腹腔分流组比较差异无统计学意义(P＞0.05).两组预后情况比较差异无统计学意义(P＞0.05).两组术后并发症发生率近似(12.5％vs.7.5％),差异无统计学意义(P＞0.05).结论 脑室腹腔分流和腰大池腹腔分流治疗颅内压正常脑积水均可获得较好疗效,二者预后和术后并发症无显著差异,值得借鉴.

Clinical effect of different shunting modes in patients with normal intracranial pressure and hydrocephalus

Objective To explore the clinical effect of different shunting modes (ventdculo-peritoneal shunt and lumboperitoneal shunt) in patients with normal intracranial pressure and hydrocephalus.Methods Eighty cases of normal intracranial pressure and hydrocephalus in our hospital were divided into two groups:ventriculo-peritoneal shunt group and lumboperitoneal shunt group,40 cases in each group,and two groups were treated by ventriculo-peritoneal shunt and lumboperitoneal shunt respectively.Then symptoms improvement and complications were observed after operation,the prognosis was evaluated also.Results There were no statistically significant differences in the improvement rates of gait instability,urinary incontinence,and progressive dementia between ventdculo-pedtoneal shunt group and lumboperitoneal shunt group (64.8％ vs.60.5％,60.7％ vs.55.6％,72.7％ vs.68.7％;P＞0.05);there were no statistically significant differences in the prognosis and the incidence of postoperative complications (12.5％ vs.7.5％) between ventriculo-peritoneal shunt group and lumboperitoneal shunt group (P＞0.05).Conclusion Good therapeutic effect was obtained in patients with normal intracranial pressure and hydrocephalus treated by ventriculo-peritoneal shunt and lumboperitoneal shunt,without significant differences in the prognosis and postoperative complications between two groups,which was worth using for clinical reference.