Cao Hongbin,Cao Hongxu,Guo Genrui,et al.Application of a parieto-occipital ventricular catheter ruler for ventriculoperitoneal shunting[J].Journal of Clinical Pediatric Surgery,,18():703-706.[doi:10.3969/j.issn.1671-6353.2019.08.017]
Application of a parieto-occipital ventricular catheter ruler for ventriculoperitoneal shunting
- Keywords:
- Hydrocephalus; Ventriculoperitoneal Shunt; Ventricular Puncture; Ventricular Catheter; Localizer
- CLC:
- R651.1+1;R742.7
- Abstract:
- Objective The parieto-occipital approach is a major approach of ventriculoperitoneal shunting for pediatric hydrocephalus.However,it is more difficult than the frontal approach and more likely to make an inappropriate ventricular catheter position.A parieto-occipital ventricular catheter ruler was applied for ventriculoperitoneal shunting in children and the clinical efficacies were tested.Methods Retrospective analysis was performed for 36 children with hydrocephalus undergoing ventriculoperitoneal shunting via a parieto-occipital ventricular catheter ruler from May 2016 to November 2017.There were 26 boys and 10 girls with a mean age of 19(1-120) months.The causes were congenital (n=23),brain-tumor-related (n=7),post-hemorrhagic (n=3) and post-infective (n=3).The parieto-occipital ventricular catheter ruler was adopted with a 2-segmented puncture through a right parieto-occipital approach.Results All cases were successfully punctured on one try.There was no onset of intraoperative complication,deep vascular injury or accidental nervous injury.The appropriate ventricular catheter position rate was 100%.No ventricular catheter obstruction occurred during a follow-up period of 18 months.Conclusion The parieto-occipital ventricular catheter ruler can significantly improve the appropriate ventricular catheter position rate during ventriculoperitoneal shunting.
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Memo
收稿日期:2018-01-15。
基金项目:河北省医学科学研究重点课题计划（编号：20170383）
通讯作者:王贤书,Email:sjxwk99@163.com