摘要
目的：对脑积水病例首次脑室一腹腔分流水（VP）失败原因进行分析。方法：以VP治疗各类脑积水320例，其中62例首次手术失败，结合脑积水的成因，对败原因进行分析和统计学处理。结果：分流管阻塞是多见，占69．4％（43／62），其中又以近端管阻塞多见，占阻塞病例的62．8％（27／43）。失败率高低顺序依次为：先天性、炎症性、出血性、肿瘤性、外伤性。失败率差异高度显著。结论：手术失败主要与操作和病例及手术时机的选择有关。手术应由有经验的专科医生进行。小儿脑积水，若有严重的脑发育不良，手术失败率高。
Objictive:Discuss the failed reasons of the first time ventrieuloperitoneal shunt in hydrocephalus patients,Methods:320 cases of hydrocephalus were treated by ventriculopertoneal shunt,62 cases were failed in the first time.Combined theetiology of hydroeephalus,the failed reasons of the operation were analysed,Results:The obstruction of the tube was most seen(69.4%,43/62),and most of them were the obstruction of the near part(62.8%,27/43).According to the occuring frequeney,the failed reasons are congenital,infection,hemorrhang,tumor ,trauma,The results are obviouse difference between the operations with different reasons.Conclusion:The results of operation are related to the operation technique and selected cases.The operation must be done by expert doctor,The falied ration is high in hydrocephalkus patient with brain dysplasia.
出处
《广东医学》
CAS
CSCD
1998年第8期577-579,共3页
Guangdong Medical Journal
关键词
脑积水
脑室腹腔分流术
Hydrocephalus
Ventriculoperitoneal shunt
Operation
