The clinical effect of lumboperitoneal shunting treatment on patients with ommunicating hydrocephalus
10.3760/cma.j.issn.1008-6315.2014.08.029
- VernacularTitle:腰大池-腹腔分流术治疗昏迷并交通性脑积水效果观察
- Author:
Xiaowei LIU
;
Jiandong JIANG
;
Yi YAO
;
Xiaobin ZHANG
;
Dezhi HUANG
;
Fengpeng WANG
;
Dengke GAO
- Publication Type:Journal Article
- Keywords:
Communicating hydrocephalus;
Lumboperitoneal shunting;
Coma;
Complications
- From:
Clinical Medicine of China
2014;30(8):878-880
- CountryChina
- Language:Chinese
-
Abstract:
Objective To assess the clinical effect of lumboperitoneal shunting (LPS) on communicating hydrocephalus.Methods An retrospectively study was conducted on communicating hydrocephalus patients who were hospitalized from Sep.2009 and Dec.2013 at the No.174th Hospital of Chinese People's Liberation Army.All patients were underwent the LPS.All patients were with difference degrees of coma,and lumbar punctured for continued cerebrospinal fluid extended drainage before LPS.The change of disturbance of consciousness and the complications of LPS were assessed.Results There were 12 patients with communicating hydrocephalus.Of them,7 cases were underwent routine lumboperitoneal shunts,and 5 cases were experienced adjustment valve.After the LPS operation,3 patients were awakened from the coma,and 8 patients were improved in terms of consciousness and the decompression pressure of skull window as well as decreased enlarged lateral ventricles in pre-operation by CT.As for another 1 patient,the lumboperitoneal catheter had been slipped into the peritoneal cavity after 2 months of operation.There were no complications of infection,intracranial hemorrhages,obstruction of catheter and epilepsy.Conclusion The LPS should be the first selection of those patients who suffered from communicating hydrocephalus without trouble in spine and abdomen.A positive response to pre-operative continuing cerebrospinal fluid extend drainage is good prediction factor for surgical results of LPS.
