腰大池-腹腔分流术与脑室-腹腔分流术后并发症的对比研究

目的：比较腰大池-腹腔分流术（ Lumboperitoneal shunt LPS）与侧脑室腹腔分流术（Ventriculoperitoneal shunt VPS）术后并发症的发生率。方法从2008年1月至2013年1月,我院诊治交通性脑积水128例,其中58例行腰大池-腹腔分流术,70例行传统脑室-腹腔分流术。经回顾性分析及随访研究,比较两组手术一次性成功率及术后并发症的发生率是否具有统计学差异。结果 LPS组术后并发症的发生率为13．79%,VPS组术后并发症的发生率为34．29%,两组间比较,差异有统计学意义（Х^2=7．1041,P=0．0077〈0．05）。此外,LPS组一次性成功率为94．83%,VPS组一次性成功率为80．00%,两组间比较,差异有统计学意义（Х^2=4．8359,P=0．0279〈0．05）。结论 LPS在治疗外伤性交通性脑积水方面,并发症发生率低于VPS,一次性成功率高于VPS。因此,在治疗外伤性交通性脑积水时,如无相应禁忌,宜选择LPS。

Comparative Study on the Postoperative Complication between Lumboperitoneal and Ventriculoperitoneal shunt

Objective To evaluate the postoperative complication between Lumboperitoneal shunt（LPS） and Lumbo-peritoneal shunt （VPS）. Methods From January 2008 to January 2013, 128 cases of communicating hydrocephalus were treated by our hospital. Thereinto, 58 patients accepted LPS and 70 patients accepted VPS. In this research, retrospective analysis and follow-up study were used to compare the rate of success and the incidence of postoperative complications for any significant differ-ences. Results The incidence complications of LPS was 13. 79%, comparing with that of VPS was 34. 29%, which existed sig-nificant differences （ Х^2=7. 1041, P =0. 0077 〈0. 05）. Moreover, the rate of success of LPS （94. 83%） was ahead of VPS （80. 00%）, which remained significant differences by Statistical analysis （Х^2 =4. 8359,P=0. 0279〈0. 05）. Conclusion For traumatic communicating hydrocephalus, the incidence of complication of LPS is lower than the VPS, but the rate of success was higher than the VPS. Therefore, if the correlative contraindications didn’ t exist for patients, LPS was preferentially selected for traumatic communicating hydrocephalus.