正常压力性脑积水临床特点及手术疗效

doi:10.3969/j.issn.1000-8535.2017.02.020

广州医药 ›› 2017, Vol. 48 ›› Issue (2): 72-75.DOI: 10.3969/j.issn.1000-8535.2017.02.020

正常压力性脑积水临床特点及手术疗效

谢树波, 蔡玮, 杨立业, 林小聪

潮州市中心医院神经外科(潮州 521000)

收稿日期:2016-12-30 发布日期:2021-12-01

The surgical therapeutic experience of hydrocephalusby with normal pressure

XIE Shubo, CAI Wei, YANG Liye, LIN Xiaocong

Department of Neurosurgery, Center Hospital of Chaozhou,Chaozhou 521000, China

Received:2016-12-30 Published:2021-12-01

摘要/Abstract

摘要： 目的分析、探讨正常压力性脑积水发病机制、临床特点、手术指征及疗效。方法回顾性分析我院自2005年1月—2015年1月采用侧脑室-腹腔分流术治疗53例正常压力性脑积水患者临床资料。结果随访0.5~3年,总有效率为79.2%,无效率为20.8%,不良反应发生率为5.6%,不同临床特点患者的疗效有显著性差异(P＜0.05)。结论提高对正常压力性脑积水认识,尽早确诊,选用合适压力的分流管,及时行脑室-腹腔分流术,注意防治并发症,以提高手术疗效。

关键词: 正常压力, 脑积水, 脑室-腹腔分流术, 手术疗效

Abstract: Objective To explore the pathogenesis, clinical features, operation indication as well as therapeutic effect of hydrocephalus with normal pressure. Methods 53 patients underwent the ventriculo-peritoneal shunt from our hospital from Jan 2005 to Jan 2015 were retrospectively studied. Results Follow-up period was 0.5 to 3 years. Total efficacy rate was 79.2%; The failure rate was 20.8%; The incidence rate of adverse reaction was 5.6%. There were significance statistically for therapeutic effect between different groups(P＜0.05). Conclusion It is important to strengthen the awareness and diagnosis for hydrocephalus with the normal pressure. The suitable shunt duct and the ventriculo-peritoneal shunt in time will decrease complications and improve surgical therapeutic effect.

Key words: Normal pressure, Hydrocephalus, Ventriculo peritoneal shunt, Surgical therapeutic effect

谢树波, 蔡玮, 杨立业, 林小聪. 正常压力性脑积水临床特点及手术疗效[J]. 广州医药, 2017, 48(2): 72-75.

XIE Shubo, CAI Wei, YANG Liye, LIN Xiaocong. The surgical therapeutic experience of hydrocephalusby with normal pressure[J]. Guangzhou Medical Journal, 2017, 48(2): 72-75.

正常压力性脑积水临床特点及手术疗效

The surgical therapeutic experience of hydrocephalusby with normal pressure

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