脑室-腹腔分流术治疗小儿脑积水的并发症分析
[摘要] 目的 分析脑室-腹腔分流术（VPS）治疗小儿脑积水的并发症。 方法 脑积水患儿185例，所有患儿均行VPS治疗。术后通过门诊和电话定期对患儿进行随访，记录并分析患儿并发症诊治情况和原因，统计并发症的发生率。 结果 157例患儿术后无并发症发生，28例患儿术后出现并发症，发生率为15.14%。主要并发症为分流管阻塞（4.9%）和感染（4.3%），主要阻塞原因为脑室粘连、纤维组织阻塞、管口滑落脑室腔外、管口囊肿包裹和大网膜包裹，主要感染因素为迁延性脑膜炎、皮下积液、皮肤破溃和肠道逆行感染。 结论 VPS治疗小儿脑积水术后并发症以分流管阻塞和感染多见，有效预防和治疗并发症可提高VPS术后疗效。
[关键词] 脑室-腹腔分流术；脑积水；儿童；并发症
[中图分类号] R726.1 [文献标识码] A [文章编号] 1674-4721（2012）07（b）-0057-02
Analysis of complications of ventriculo-peritoneal shunt in the treatment of pediatric hydrocephalus
FENG ShubinLU ShanQI Lin
Department of Neurosurgery, Children"s Hospital of Zhengzhou City in He"nan Province, Zhengzhou450053, China
[Abstract] Objective To analyze the complications of ventriculo-peritoneal shunt in the treatment of pediatric hydrocephalus. Methods One hundred and eighty-five cases of hydrocephalus children were treated with ventriculo-peritoneal shunt (VPS). All children were followed up after operation by means of outpatient service and telephone, the diagnosis and treatment situation of complications of children was recorded and the reasons were analyzed, the incidence of complications was done statistics. Results One hundred and fifty-seven cases of children had no incidence of complications, and 28 cases suffered with complications after operation, the incidence rate was 15.14%. Shunt tube obstruction (4.9%) and infection (4.3%) were the main complications. Ventricle adhesion, fibre obstruction, shunt tube sliding out of ventricular cavity, tube mouth cyst and tube parcel...
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