摘要
目的探讨颅骨缺损伴脑积水行脑室-腹腔分流术,在B超辅助技术下的操作方法及可行性,进行回顾性对照研究.方法将37例颅骨缺损伴脑积水需行脑室-腹腔分流术的患者在B超辅助技术下（A组）进行;未行辅助措施的37例脑积水手术患者为对照组（B组）,比较两组患者的手术时间、脑室穿刺次数、穿刺的准确位置情况.结果 A组较传统的手术具有手术时间缩短、减少脑室穿刺次数、脑室穿刺位置准确等优点.结论脑室-腹腔分流术借助B超辅助技术具有直观性、实时显示性、引导准确、操作方便、价廉等特点,使手术简便,安全,创伤小,避免了医源性脑损伤,降低该术式的并发症.
Objective Using retrospective control study,we investigated the ascendancy of the technique of ventriculo-peritoneal shunt by type-B ultrasonic aiding. Method We separated 74 cases of skull defect with hydrocephalus in 2 groups. The adjunctive therapy group（37 cases）was treatmented by ventriculo-peritoneal shunt by type-B ultrasonic aiding,but the control group（37 cases）was treatmented by traditionary operation. Contrast to time of operation,numbers of ventricular puncture and selection of nyxis-position in 2 groups. Result The technique of ventriculo-peritoneal shunt by type-B ultrasonic aiding could reduce time of operation,decrease numbers of ventricular puncture,more precise nyxis-position and so on. Conclusion The technique of Ventriculo-peritoneal shunt by type-B ultrasonic aiding has the advantages including direct-viewing,real-time displaying,accur aiming,easy operating and lower costing etc. It is safety and convenient,could avoid brain injured of iatrogenic and decrease complication of operation.
出处
《浙江临床医学》
2013年第5期629-631,共3页
Zhejiang Clinical Medical Journal
关键词
颅骨缺损
脑积水
B超辅助手术
Defect of skull Hydrocephalus Operation oftype-B ultrasonic aiding Control study
