Curative effect and complication analysis of different shunt procedures for treatment of posttraumatic hydrocephalus
10.3760/cma.j.issn.1001-8050.2016.02.003
- VernacularTitle:不同分流方式治疗创伤后脑积水的疗效及并发症分析
- Author:
Jiangbiao GONG
;
Liang WEN
;
Xiaofeng YANG
- Publication Type:Journal Article
- Keywords:
Hydrocephalus;
Ventriculoperitoneal shunt;
Postoperative complications;
Lumboperitoneal shunt
- From:
Chinese Journal of Trauma
2016;32(2):105-109
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the effect and complications of lumboperitoneal shunt (LP) and ventriculoperitoneal shunt (VP) in treatment of posttraumatic hydrocephalus (PTH).Methods A retrospective study was made on 150 cases of posttraumatic communicating hydrocephalus managed with LP or VP from June 2013 to June 2015.There were 65 cases [36 males, 29 females;(47.2 ±8.2) years of age] in LP group and 85 cases [53 males, 32 females;(44.6 ± 7.3) years of age] in VP group.Therapeutic effect and complications were analyzed postoperatively.Results Period of follow-up was 3-27 months, which shoued Total effective rate of 97% in LP group and 94% in VP group (P >0.05).Postoperative complications were mainly hematoma, infection, shunt obstruction, shunt exposure, excessive shunt and inadequate shunt.At the follow-up, there were 3 subdural hematoma, 4 intracranial infection, 2 shunt obstruction, 3 excessive shunt and 1 inadequate shunt in VP group, but 1 subdural hematoma, 1 intracranial infection, 1 shunt exposure and l excessive shunt in LP group.Good results were achieved in the two groups after regulation of the shunt pressure or reoperation.In comparison, incidence of complications was 6% in LP group versus 15% in VP group (P < 0.05).Rate of shunt removal and reoperation in LP group were both 2%, but were 7% and 8% respectively in VP group (P < 0.01).Conclusions Both shunt procedures are effective for posttraumatic hydrocephalus, while LP is a better choice in clinical application for the lower complication incidence, shunt removal rate and reoperation rate.