摘要
目的探讨体外可调压分流管经皮穿刺腰大池-腹腔分流术治疗交通性脑积水的可行性及其优势。方法对23例各种原因引起的交通性脑积水病人行体外可调压分流管经皮穿刺腰大池-腹腔分流术，评价此手术与传统手术的优越性。结果随访3～18个月，23例病人治疗效果明显，经CT检查见脑室系统均恢复正常大小，无分流过度或不足表现，并发症少。结论体外可调压分流管经皮穿刺腰大池-腹腔分流术治疗交通性脑积水的手术效果均优于固定阈值分流管微创腰大池-腹腔分流手术及传统脑室-腹腔分流术。
Objective To investigate the advantages of the therapy of communicating hydrocephalus by percutaneous lumboperitoneal（L-P） shunt with external pressure regulator. Methods Twenty-three patients with communicating hydrocephalus were treated by percutaneous L-P shunt with external pressure regulator. The merits and demerits were compared between the percutaneous L-P shunt and the traditional surgery. Results All the patients were followed up fiom 3 to 18 months. The curative effects of the L-P shunt with external pressure regulator on communicating hydrocephalus were good in all the patients, in whom the return of the cerebral ventricles to normal was demonstrated by CT examination, and excessive or insufficient shunt did not occur. Conclusion The effects of percutaneous L-P shunt with external pressure regulator on communicating hydrocephalus are superior to those of the minimally invasive L-P shunt with settled threshold catheter and the traditional ventriculoperitoneal shunt.
出处
《中国临床神经外科杂志》
2010年第1期15-17,共3页
Chinese Journal of Clinical Neurosurgery
关键词
交通性脑积水
体外调压
腰大池-腹腔分流术
Communicating hydrocephalus
External pressure regulator
Lumboperitoneal shunt
