脑室-腹腔分流术临床分析

目的分析脑室—腹腔分流术治疗脑积水的疗效。方法95例脑积水患者均行脑室—腹腔分流术治疗,分流装置主要为中压脑室—腹腔分流管。结果神经功能恢复程度参照Salmon的脑积水分流术疗效评定标准,44例基本恢复正常(46.32%),38例明显好转(40.00%),8例轻度好转(8.42%),4例无变化(4.21%),恶化1例(1.05%)。无直接手术死亡者。结论脑室—腹腔分流术仍是目前治疗脑积水的主要方法,选择合适的分流装置,适当的手术时机,减少各种并发症是保证手术成功的关键。

Clinical analysis on ventriculo-peritoneal shunt

Objective To analyze the therapeutic effect of the shunting surgery for hydrocephalus.Meth-ods 95 patients with hydrocephalus were treated with ventriculo-peritoneal shunt.The mediun-pressure shunts were the priority of choice.Results The recovery of neurorehabilitation of the cases were assessed by standard of Salmon after the operations.44 cases recovered to normal,38 cases improved obviously,8 cases improved gently and 4 cases were not obviously changed.No patient died from the operation.Conclusion Ventriculo-peritoneal shunt is still the most common method for patients with hydrocephalus at present.Choosing the opti-mal shunt apparatus and time and decreasing postoperative complications may play an important role in improv-ing the outcome of shunting surgery for hydrocephalus.