脑室-腹腔分流术75例临床分析

目的:探讨脑室-腹腔分流术后并发症的原因、治疗及预防措施。方法:对75例脑积水患者脑室-腹腔分流术的手术方法、预后及并发症情况进行回顾性分析。结果:治愈43例,分流管阻塞16例,感染13例,过度引流2例,肠穿孔1例。结论:脑室-腹腔分流术应严格消毒,无菌、规范操作,术后密切观察患者并发症的发生并及时、正确处理,对腹腔端分流管反复包裹的患者可改行侧脑室-脐-门静脉分流术,以提高手术疗效。

Clinical analysis of 75 cases of ventriculopefitoneal shunt

Objective: To explore the causes,treatment and prevention of the complications after ventriculoperitoneal shunt.Methods: The surgical procedure,prognosis and complication of 75 patients who had accepted ventriculopefitoneal shunt were retrospectively reviewed.Results: Complete recovery was observed in 43 cases,duct block in 16 cases,infection in 13 cases,excessive shunt in 2 cases and bowel perforation in 1 case.Conclusions: Strict disinfection,aseptic and normative operation,meticulous observation and timely management of the complications in patients having received ventriculopefitoneal shunt are essential in improving the clinical efficacy;it is suggested that patients whose drainage tube are repeatedly blocked resort to ventricle-umbilicus-portal vein shunt.