摘要
目的介绍一次性手术完成脑积水合并颅骨缺损的方法。方法回顾分析54例脑积水合并颅骨缺损病人一次性完成V-P手术和颅骨修补术的临床资料,并与30例行脑室腹腔分流术(V-P手术)之后行颅骨修补术的患者进行比较。结果除2例病人因术后颅内压高,需要更换分流泵以外,两组病人预后无显著差别。结论脑积水合并颅骨缺损的病人一般都可以一次性完成两种手术,术前需要测量好颅内压,根据颅内压选择合适压力的分流管是手术成功的关键。
Objective To study the application of one-stage operation of ventriculo-peritoneal shunt and cranioplasty for hydrocephalus complicated by skull defect. Method The clinical records of 54 patients with hydrocephalus complicated by skull defect treated with one-stage operation of ventriculo-peritoneal shunt and cranioplasty were reviewed in comparison with those of 30 patients receiving two-stage operations. Result The clinical outcome of the patients receiving the two surgical procedures did not differ significantly, but two patients undergoing one-stage operation required replacement of the shunt pump due to elevation of intracranial pressure. Implementation of one-stage operations shortened the length of hospital stay and reduced the expense of patients. Conclusion Hydrocephalus in combination with skull defect can be treated generally with one-stage operations and care must be taken in choosing adequate shunt tube according to the intracranial pressure measured preoperatively.
出处
《第一军医大学学报》
CSCD
北大核心
2005年第3期254-255,共2页
Journal of First Military Medical University
关键词
脑室腹腔分流术
颅骨修补术
颅内压
cerebral ventricle-abdominal cavity shunt
skull prosthesis
intracranial pressure
