Analysis of clinical effect of different ventricle peritoneal shunt operation in the treatment of hydrocephalus
10.3760/cma.j.issn.1008-6706.2017.20.010
- VernacularTitle:不同脑室腹腔分流术式对脑积水的临床疗效分析
- Author:
Baoqing ZHANG
;
Chunlei WANG
;
Meng LI
;
Jinlong SUN
- Keywords:
Hydrocephalus;
Ventriculoperitoneal shunt;
Surgery path;
Complication
- From:
Chinese Journal of Primary Medicine and Pharmacy
2017;24(20):3076-3079
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the clinical effect of different surgery in the treatment of shunt-dependent hydrocephalus by comparing the postoperative complications of ventriculoperitoneal(V-P) shunt surgery with different incidence of eminence puncture or the triangle puncture.Methods 98 patients with shunt-dependent hydrocephalus who underwent V-P shunt were analyzed.According to different operation methods,they were divided into eminence puncture group (63 cases) and triangle puncture group (35 cases).The operation time and postoperative complications were compared between the two groups,and the clinical efficacy was compared by Glasgow Coma Scale (GCS) score at the end of 12 months follow-up.Results The operation time of the eminence puncture group [(53.35 ± 5.72) rain] was longer than (35.52 ± 9.18) min of the the triangle puncture group (t =6.024,P ＜ 0.05).The incidence rate of complication in the eminence puncture group was lower than that in the the triangle puncture group at postoperative 12 months (x2 =4.395,P ＜ 0.05).Postoperative CT examination found that the ventricle width of the two groups was decreased in different degree.The improvement of Evan's index(t =40.86,P ＜0.05) and GCS score(U =4.50,P ＜ 0.05) in preoperative of the eminence puncture group were greater than those of the triangle puncture group after 12 months.Conclusion The clinical efficacy of V-P shunt of the frontal lateral ventricle puncture may be superior to the triangle puncture in the treatment of shunt-dependent hydrocephalus.
