| 腰大池－腹腔分流治疗外伤性交通性脑积水 |
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| 引用本文： | 张楷文,张国福,苏晨芳,张赛,刘敬业,周里刚. 腰大池－腹腔分流治疗外伤性交通性脑积水[J]. 中华神经外科杂志, 1996, 0(6) |
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| 作者姓名： | 张楷文 张国福 苏晨芳 张赛 刘敬业 周里刚 |
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| 作者单位： | 环湖医院颅脑损伤抢救中心 |
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| 摘 要： | 报告１９９２年１月至１９９５年２月，脑外伤后脑积水６０例，行脑室－腹腔（Ｖ－Ｐ）分流术和腰大池－腹腔（Ｌ－Ｐ）分流术各３０例。Ｌ－Ｐ分流术后腰椎穿刺测压较术前低，脑室壁所承受的压力下降，术后脑室逐渐变小，脑室额角周围低密度消失，病人症状体征改善。Ｌ－Ｐ分流术一次手术成功率９０％，手术并发症１３％，优于Ｖ－Ｐ分流术的一次手术成功率７０％，手术并发症４３％。提示脑外伤后交通性脑积水Ｌ－Ｐ分流术优于目前国内外常用的Ｖ－Ｐ分流术，如无脊柱及腹部禁忌症，应为首选。
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| 关 键 词： | 脑外伤 脑积水 腰大池－腹腔分流术 |
Lumboperitonealshunt |
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| ZhangKaiwen,ZhangGuofu,SuChenfang,et al.. Lumboperitonealshunt[J]. Chinese Journal of Neurosurgery, 1996, 0(6) |
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| Authors: | ZhangKaiwen ZhangGuofu SuChenfang et al. |
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| Affiliation: | ZhangKaiwen,ZhangGuofu,SuChenfang,etal.TianjinNeurologicalCen-terHospital,TianjinHeadInjuryManagementCenter,Tianjin300060 |
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| Abstract: | SixtypatientswithpostraumatichydrocephalusweretreatedfromJanuary,1992toFebruary,1995.30casesweretreatedbypercutaneouslumboperitoneal(LP)shunts,and30casesweretreatedbyventriculoperitoneal(VP)shunts.TheLPShuntsweresuccessefulinreducingthein-tracranialpressureandsizeoftheventricle,inimprovingsignsandsympotemsofthepatients,andine-liminatingthecerebraledemaaroundthefrontalhornofthelateralventricle.ThesuccessfulrateofLPshuntwere90%,andtheVPshuntswere70%.Thecomplicationsoftwogroupswere13%(LPgroup)and43%(VPgroup)respectively.TheresultsofthisstudysuggestthatLPshuntismoreef-fectivethantheVP.SoweadvocatedthatLPshuntshouldbeconsideredfirstinpatientswithcommu-nicatingpostraumatichydrocephalus. |
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| Keywords: | HeadinjuryPostraumatichydrocephalusLumboperitonealshunt |
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