脑室腹腔分流术治疗婴儿脑积水120例
- Title:
- Ventriculoperitoneal (VP) shunt surgery of infants hydrocephalus: a clinical research
- Keywords:
- Ventriculoperitoneal Shunt; Hydrocephallus; Infant
- 文献标志码:
- A
- 摘要:
- 【摘要】目的本研究对<10个月的不同类型重度脑积水婴儿实施脑室腹腔分流术(V-P分流术),并观察其临床疗效。方法1996年至2009年河北省儿童医院神经外科收治年龄10个月以下婴儿脑积水120例,其中先天性脑积水20例;外伤后脑积水30例;自发性脑出血后脑积水15例;脑炎后脑积水43例;肿瘤所致脑积水12例;均采取脑室腹腔分流术。结果120例患儿术后均恢复顺利,随访1~5年,脑室大小于术后3个月至2年恢复正常,智力发育与正常同龄儿比较无明显差别。结论婴儿重度脑积水早期施行V-P分流术方法简单,并发症少,疗效满意。
- Abstract:
-
【Abstract】ObjectiveTo study the clinical effect of ventriculoperitoneal (VP) shunt surgery in infants aged below 10 months with kinds of serious hydrocephalus.MethodsA retrospective survey in 120 cases with serious hydrocephalus: congenital hydrocephalus 20 cases, posttrauma hydrocephalus 30 cases, craniohemorrhage caused hydrocephalus 15 cases, hydrocephalus complicating purulent meningitis 43 cases, tumor caused 12 cases.Results120 patients underwent VP shunt placement for kinds of serious hydrocephalus result in goodness.ConclusionsEarly VP shunt placement is an effective treatment for serious hydrocephalus in infants.
参考文献/References:
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3李德泽,王锡春,张培军,等.脑室-腹腔分流术治疗儿童脑积水\[J\].中华小儿外科杂志,1991,12:9—10.
4James M.Drake.The surgery management of pediatric hydrocephalus. Neurosurgery,2008,62(sup):633—642.
5Wagner W,Koch D.Mechanisms of failure after endoscopic third ventriculostomy in yong infants\[J\].J Neurosurg,2005,103:43—49.
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7鲍南,顾硕,吴晔明,等.脑室镜三脑室造瘘术治疗小儿阻塞性脑积水\[J\].中华神经外科杂志,2006,22:519—521.
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