腹部反麦氏点穿刺法在胸室—腹腔分流手术中的应用

目的 以自制穿刺针行腹腔反麦氏点穿刺方法改良脑室腹腔分流术。方法 回顾性分析49例接受改良脑室腹腔分流术治疗的脑积水患者临床资料。结果 所有病例经术后随访示分流管阻塞和术后感染发生率均为4．08％，较文献报道少。结论 以腹部反麦氏点穿刺替代开腹手术置管具有创伤小、恢复快，感染机会小，不易被网膜包裹及腹部并发症少等优点。

Application of abdominal puncture in ventriculoperitoneal shunt

Objective To introduce a new method that abdominal puncture is used in ventriculoperitoneal shunt. Methods A retrospective review of the clinical materials of 49 patients who underwent improving ventriculoperitoneal shunt.Results After operations, all the patients had fellow-up survey that the rates of infection and obstruction are both 4.08%. They are lower than that of the lectures. Conclusion It has many advantages that abdominal puncture taken the place of incision of abdominal cavity. They are less wounded, less infection, less abdominal complication , not easy to be packed by the omentum and so on.