腰大池腹腔分流术治疗交通性脑积水并发复发性脑室腹腔分流术后感染8例临床分析

目的：探讨腰大池腹腔分流术治疗交通性脑积水并发复发性脑室腹腔分流术后感染的临床疗效.方法：回顾性分析2010年1月至2013年1月我科采用腰大池腹腔分流术治疗交通性脑积水行脑室腹腔分流术后反复感染且常规治疗无效的8例患者的临床资料.结果：8例临床症状明显改善,CT显示脑积水均缓解,5例脑室缩小,3例脑室形态无明显改变,但间质水肿消失.平均11 （5-18）个月随访无复发.结论：腰大池腹腔分流术可明显提高交通性脑积水并发难治性脑室腹腔分流术后感染的治愈率.

The Clinical Analysis of 8 Patients with Recurrent Ventriculoperitoneal Shunt Infections with Communicating Hydrocephalus Treated by Lumboperitoneal Shunt

Objective： To explore the value of the lumboperitoneal shunt in the management of recurrent ventriculoperitoneal shunt infections with communicating hydrocephalus. Methods： The clinical data of 8 patients with recurrent ventriculoperitoneal shunt infections with communicating hydrocephalus treated by lumboperitoneal shunt after failure of conservativetreatment were analyzed retrospectively from Jan 2010 to Jan 2013. Results： All cases were significantly relieved, CT showed 5 cases recover to normal in the size of ventricles, 3 cases with no changes in ventricles, hut interstitial edema disappeared. No recurrence cases in an average of 11 （5-18） months followed up. Conclusions： Lumboperitoneal shunt can significantly improve the cure rate of recurrent ventriculoperitoneal shunt infections with communicating hydrocephalus.