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正常压力脑积水分流手术效果的预测 被引量：4

Prediction the Outcome of Shunt Operation in Normal Pressure Hydrocephalus
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摘要 正常压力脑积水最有效的治疗方法为脑脊液分流术,但对分流手术的效果一直存在争议,关键在于对行分流手术患者的选择缺乏统一的标准。因此在术前有效预测每个患者的手术效果尤为重要。本文从正常压力脑积水患者的临床表现、CT和MRI检查、脑血流量和脑脊液动力学等方面综述影响分流手术效果的因素。 Cerebrospinal fluid （CSF） shunting is the most effective method to treat normal pressure hydrocephalus. Controversy exists in the literature as to the outcome of shunting surgery so far in concerned with the best criteria of selecting patients with normal pressure hydrocephalus for cerebrospinal fluid shunting. Hence it is important to reliably predict the outcome in preoperative assessment. The literature is reviewed in aspect to clinical symptoms, CT, MRI, cerebral blood flow and CSF dynamic studies to identify factors that predict shunt operation response.
作者 崔华 王勇
机构地区 上海第二医科大学仁济医院神经外科
出处 《上海第二医科大学学报》 CSCD 北大核心 2005年第8期866-868,共3页 Acta Universitatis Medicinalis Secondae Shanghai
关键词 正常压力脑积水 分流手术 预测 normal pressure hydrocephalus cerebrospinal fluid shunting prediction
分类号 R651 [医药卫生—外科学]
  • 相关文献

参考文献20

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同被引文献34

  • 1陈祖鹏,沈宏.特发性正常颅压脑积水的诊断与治疗进展[J].国际神经病学神经外科学杂志,2006,33(2):170-173. 被引量：4
  • 2[4]Hebb AO,Cusimano MD.Idiopathic normal pressure hydrocephalus:a systematic review of diagnosis and outcome.Neurosurgery,2001,49 (5):1166～1184
  • 3[5]Dixon GR,Friedman JA,Luetmer PH,et al.Use of cerebrospinal fluid flow ratesmeasured by phase2contrastMR to predict outcome of ventriculoperitoneal shunting for idiopathic normal2p ressure hydrocephalus.Mayo Clin Proc,2002,77 (6):509～514
  • 4[6]Eide PK,Fremming AD.A p rospective study on the clinical effect of surgical treatment of normal pressure hydrocephalus:the value of hydrodynamic evaluation.BrJ Neurosurg,2004,18 (2):149～157
  • 5Wallenstein MB, McKhann GM 2nd. Salom6n Hakim and the discovery of normal- pressure hydrocephalus [J]. Neurosurgery, 2010, 67(1);155~159.
  • 6Marmarou A, Bergsneider M, Klinge P, et al. The valueof supplemental prognostic tests for the preoperative as- sessment of idiopathic normal--pressure hydrocephalus [J]. Neurosurgery,2005, 57(3 Suppl) :S17~28.
  • 7Ishikawa M, Oowaki H, Matsumoto, et al. Clinical sig- nificance of cerebrospinal fluid tap test and magnetic res- onance imaging/computed tomography findings of tight high convexity in patients with possible idiopathic normal pressure hydrocephalus[J ]. Neurol Med Chir (Tokyo), 2010,50(2) : 119~123.
  • 8Marmarou A, Bergsneider M, Relkin N, et al. Develop- ment of guidelines for idiopathic normal -- pressure hy- drocephalus: introductionS[J]. Neurosurgery, 2005,57 (3 Suppl) : S1 ~3.
  • 9McConnell KA, Zou KH, Chabrerie AV, et al. Decrea- ses in ventricular volume correlate with decreases in ven- tricular pressure in idiopathic normal pressure hydro- cephalus patients who experienced clinical improvement after implantation with adjustable valve shunts[J]. Neu- rosurgery, 2004,55(3) : 582~592.
  • 10Sasaki H, Ishii K, Kono AK, et al. Cerebral perfusion pattern of idiopathic normal pressure hydrocephalus studied by SPECT and statistical brain mapping[J]. Ann Nucl Med, 2007, 21(1):39~45.

引证文献4

二级引证文献23

上海第二医科大学学报
2005年 第8期

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