Cao Guangna,Zhang Yang,Chang Yanmei,et al.Effect of ventriculosubgaleal shunts in the treatment of posthemorrhagic hydrocephalus of preterm infants[J].Journal of Clinical Pediatric Surgery,,21():242-247.[doi:10.3760/cma.j.cn101785-202106021-008]
Effect of ventriculosubgaleal shunts in the treatment of posthemorrhagic hydrocephalus of preterm infants
- Keywords:
- Hydrocephalus/SU; Drainage/MT; Infant; Premature; Feasibility Studies
- Abstract:
- Objective To explore the complications and clinical outcomes of ventriculosubgaleal(VSG) shunt in the treatment of posthemorrhagic hydrocephalus of preterm infants.Methods From November 2012 to November 2019, clinical data were retrospectively reviewed for 5 premature infants with posthemorrhagic hydrocephalus undergoing VSG shunt in neonatal intensive care unit.The changes of cerebrospinal fluid(CSF) protein, cell number and head circumference pre/post-VSG drainage were compared.The gestational age was(29.36±3.43) weeks and birth weight(1 560.00±665.85) grams.The operative age of VSG was(9-39) days with a median of 30(15-36) days.All etiologies were obstructive hydrocephalus secondary to intraventricular hemorrhage; Perinatal complications included asphyxia(n=2) and neonatal respiratory distress syndrome(n=3).There were patent ductus arteriosus(n=4), persistent pulmonary hypertension(n=3), septicemia(n=1) and respiratory acidosis(n=5).Results VSG shunt was performed 6 times.The duration of VSG drainage was(1-18) months with a median of 8.75(4-17.25) months.Compared with pre-VSG drainage, protein level of CSF declined gradually, count of CSF cells and head circumference decreased significantly.One case of temporary closure was re-operated after position adjusting.One case was blocked and no catheter-related infection or other complications occurred.During follow-ups, all of them survived.The outcomes were moderate mental retardation(n=1), mild mental retardation(n=1) and normal development(n=3).Conclusion VSG shunt is both safe and effective for premature hydrocephalus.Economical and convenient, it improves the prognosis and survival rate of children.The complications are fewer and controllable.
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Memo
收稿日期:2021-06-09。
基金项目:国家自然科学基金（31830034）
通讯作者:常艳美,Email:changyanmei0410@sina.com