南方医科大学学报

南方医科大学学报 ›› 2005, Vol. 25 ›› Issue (03): 254-255.

• • 上一篇    下一篇

一次性完成脑室腹腔分流和颅骨修补术54例临床分析

周青1, 张世忠2, 徐如祥2, 王建奇2, 涂艳阳2   

  1. 1. 解放军309医院神经外科, 北京, 100091;
    2. 南方医科大学珠江医院神经外科, 广东, 广州, 510282
  • 出版日期:2005-03-20 发布日期:2005-03-20
  • 基金资助:
    收稿日期:2004-8-2。
    作者简介:周青(1969- ),男,在读博士,主治医师,研究方向为脑损伤和脑肿瘤的治疗,电话:020-88394099,E-mail:davidzhou2360@hotmail.com

One-stage operation of ventriculo-peritoneal shunt and cranioplasty: analysis of 54 cases

ZHOU Qing1, ZHANG Shi-zhong2, XU Ru-xiang2, WANG Jian-qi2, TU Yan-yang2   

  1. 1. 解放军309医院神经外科, 北京, 100091;
    2. 南方医科大学珠江医院神经外科, 广东, 广州, 510282
  • Online:2005-03-20 Published:2005-03-20

PDF

1057

摘要： 目的 介绍一次性手术完成脑积水合并颅骨缺损的方法。方法 回顾分析54例脑积水合并颅骨缺损病人一次性完成V-P手术和颅骨修补术的临床资料,并与30例行脑室腹腔分流术(V-P手术)之后行颅骨修补术的患者进行比较。结果 除2例病人因术后颅内压高,需要更换分流泵以外,两组病人预后无显著差别。结论 脑积水合并颅骨缺损的病人一般都可以一次性完成两种手术,术前需要测量好颅内压,根据颅内压选择合适压力的分流管是手术成功的关键。

Abstract: Objective To study the application of one-stage operation of ventriculo-peritoneal shunt and cranioplasty for hydrocephalus complicated by skull defect.Method The clinical records of 54 patients with hydrocephalus complicated by skull defect treated with one-stage operation of ventriculo-peritoneal shunt and cranioplasty were reviewed in comparison with those of 30 patients receiving two-stage operations.Result The clinical outcome of the patients receiving the two surgical procedures did not differ significantly, but two patients undergoing one-stage operation required replacement of the shunt pump due to elevation of intracranial pressure. Implementation of one-stage operations shortened the length of hospital stay and reduced the expense of patients.Conclusion Hydrocephalus in combination with skull defect can be treated generally with one-stage operations and care must be taken in choosing adequate shunt tube according to the intracranial pressure measured preoperatively.

中图分类号: