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脑室-颈静脉分流术治疗脑积水的结果

Results of the treatment of hydrocephalus with ventriculo-jugular shunts.

作者信息

Beks J W, ter Weeme C A

出版信息

Neurochirurgia (Stuttg). 1975 Jul;18(4):118-20. doi: 10.1055/s-0028-1090439.

Abstract

260 children with hydrocephalus were treated with a ventriculo-jugular shunt. We compared the complication - rate between Holter-shunts and Pudenz-shunts. As far as we could verify 58 children died from several causes. 190 revisions were done in 114 patients, 110 revisions in 71 children with a Holter - valve and 80 revisions in 43 children with a Pudenz - valve. The complication-rate was 112 in 176 Holter - valves and 84 in 84 Pudenz - systems. In our hands the use of the Holtersystem gives better results. As one can conclude from these figures and those from others (Tsingoglou and Forrest 1971), the treatment of children with hydrocephalus is still far from ideal.

摘要

260名脑积水患儿接受了脑室-颈静脉分流术治疗。我们比较了霍尔特分流管和普登茨分流管的并发症发生率。据我们所能核实的情况,58名儿童因多种原因死亡。114例患者进行了190次翻修,71名使用霍尔特瓣膜的儿童进行了110次翻修,43名使用普登茨瓣膜的儿童进行了80次翻修。176个霍尔特瓣膜的并发症发生率为112,84个普登茨系统的并发症发生率为84。在我们的操作中,使用霍尔特系统能取得更好的效果。从这些数据以及其他研究数据(Tsingoglou和Forrest,1971年)可以得出结论,脑积水患儿的治疗仍远不理想。

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