Comparison of adjustable and set-pressure valves in the management of communicating hydrocephalus in children
10.3760/cma.j.issn.1671-8925.2011.03.021
- VernacularTitle:可调压与非可调压分流管治疗儿童交通性脑积水疗效的比较
- Author:
Zhen SHAN
1
;
Kun CHEN
;
Yu-Chan HUANG
;
Jia-Ping LING
Author Information
1. 中山大学附属第一医院
- Keywords:
Hydrocephalus;
Ventriculoperitoneal shunt;
Adjustable valve;
Children
- From:
Chinese Journal of Neuromedicine
2011;10(3):299-302
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the outcomes of adjustable and set-pressure valves in the management of communicating hydrocephalus in children. Methods A retrospective study reviewing the medical records of 66 children with communicating hydrocephalus who received ventriculoperitoneal shunt at our center from January 2003 to December 2009 was performed. All the patients were divided into 2 groups: Codman Hakim adjustable valve group (n=27) and Medtronic set-pressure valve group (n=39). Rate of appearing complication and shunt survival time were analyzed between the 2 groups.Results The rate of shunt infection, proximal or distal obstruction, subdural hematoma and subdural hygroma showed no statistical significance between patients of the adjustable and set-pressure valve groups (P=1.000, P=0.727, P=0.455, P=0.691, respectively). The average shunt survival time of children in the adjustable valve group was 52.551 months (38.169-66.852, 95% CI) and that of children in the set-pressure valve group was 42.327 (31.636-53.019, 95%CI); no statistical significance on the average shunt survival time between these 2 groups was noted (x2=0.763, P=0.382).Conclusion The adjustable valve is not superior to set-pressure valve in the treatment of communicating hydrocephalus in children.
