脑室-腹腔分流术在脑积水患者中的临床效果应用体会

目的 探讨脑室-腹腔分流术(V-P)在脑积水患者中的临床价值.方法 将我院接受脑积水治疗的50例患者随机分成对照组和治疗组,对照组采取侧脑室矢状窦分流术治疗,治疗组采取V-P术治疗,比较两组患者的临床疗效、生活质量以及并发症发生情况.结果 治疗组总有效率为96.00％,高于对照组的76.00％,差异具有统计学意义(P＜0.05);治疗组手术时间、住院时间、术后排气时间等指标均短于对照组,差异具有统计学意义(P＜0.05);治疗组并发症发生率为12.00％,低于对照组的36.00％,差异具有统计学意义(P＜0.05).结论 在脑积水患者中应用V-P术治疗能有效缩短患者的住院时间,减少并发症的产生,值得推广.

Ventricle-celiac bypass surgery for hydrocephalus

Objective To explore the clinical value of ventricle-celiac bypass surgery (V-P) for hydrocephalus.Methods 50 patients with hydrocephalus treated at our hospital were randomly divided into a control group and a treatment group.The control group were treated with lateral ventricle sagittal sinus bypass surgery and the treatment group V-P.The clinical curative effect, life quality, and incidence of complications were compared between these two groups.Results The total effective rate was 96.00％ in treatment group and 76.00％ in control group, with a statistical difference (P＜0.05).The operation time, length of hospital stay, and postoperative exhaustion time were shorter in the treatment group than in the control group, with statistical differences (P ＜ 0.05).The incidence of complications was 12.00％ in treatment group and 36.00％ in the control group, with a statistical difference (P ＜ 0.05).Conclusions V-P for patients with hydrocephalus can effectively shorten the hospitalization time and decrease the incidence of complications and is worth being generalized.