摘要
目的探讨外伤性交通性脑积水较好的分流方法。方法我院自1992年12月～1996年10月收治外伤性交通性脑积水80例，分别行腰大池-腹腔分流术（L-P）和脑室-腹腔分流术（V-P）各40例。两组年龄、格拉斯哥昏迷评分（GCS）、术前脑室大小经均衡性检验，两组间有可比性。从一次手术成功率、手术并发症发生率、麻醉方式、手术时间、住院无数等进行对比。结果L-P分流术一次手术成功率90％，手术并发症发生率15％，优于V-P分流术的一次手术成功率77．5％，手术并发症发生率35％。结论L-P分流术避免了颅内的各种手术并发症，手术操作安全、简单，L－P分流术明显优于V－P分流术。外伤性交通性脑积水如证实脑室与腰大地相通，无脊柱及腹部分流术的禁忌症，L-P分流术应为首选。
Objective Researching the best shunting of treatment of communicating hydrocephalus.Methods In the same term, 80 comparable patients were treated half by lumboperitoneal(L-P) shunt and the other by ventriculoperitoneal(V-P) shunt. The rate of succase,complications, methods of anaesthesia and duration of operation were analyzed statistically. Results L-P shunt was ahead of V-P shunt by: The rate of succes of L-P shunt was 90 %, comparing with that of V-P shunt was 77. 5 %. The rate of complications of L-P was 15%, wherere V-P was 35%. Conclution L-P shunt was done without introcranial operation, avoiding introcranial complication. For the simple and the method, the high rate of sucess, L-P shunt had advantages of V-P Shunt. L-P shunt should be seleted first to deal with those who suffered communicating hydrocephalus without trouble in spine and abdomen.
出处
《创伤外科杂志》
1999年第4期216-218,共3页
Journal of Traumatic Surgery
关键词
脑外伤
脑积水
腰大池-腹腔
分流术
脑室-腹腔
Head injury Hydrocephalus Lumboperitoneal shunt Ventriculoperitoneal shunt
