White J Bradley, Raffel Corey, Blackwell Richard Edgar
Department of Neurosurgery, The Mayo Clinic, Rochester, MN 55905, USA.
Pediatr Neurosurg. 2007;43(2):146-8. doi: 10.1159/000098391.
Complications arising from the placement of ventriculoperitoneal (VP) shunts are well documented. A case of infertility is presented that was thought to result from factors related to the distal end of a VP shunt residing within a patient's abdomen.
A 30-year-old female with a 3-year history of infertility was referred for fallopian tube blockage. An exploratory laparoscopy revealed multiple adhesions adjoining the distal end of her fallopian tubes. The distal portion of a VP shunt placed at childhood (with subsequent revisions) was found entangled among grossly inflamed and densely adhesive pelvic viscera.
Laparoscopic adhesiolysis was performed and the patient's fallopian tubes were reconstituted. The distal portion of the VP shunt was freed from the surrounding viscera and was not revised.
VP shunts may produce adhesive disease and complicate fertility via mechanical, chemical, and/or infectious processes.
脑室腹腔（VP）分流术引发的并发症已有充分记录。本文报告一例不孕症病例，认为其由VP分流管远端位于患者腹腔内的相关因素导致。
一名30岁女性，有3年不孕史，因输卵管堵塞前来就诊。腹腔镜探查发现其输卵管远端有多处粘连。发现其儿童期放置（后经多次修正）的VP分流管远端缠绕在严重发炎且粘连致密的盆腔脏器之间。
进行了腹腔镜粘连松解术，并对患者的输卵管进行了修复。VP分流管远端从周围脏器中松解出来，未进行修正。
VP分流管可能通过机械、化学和/或感染过程引发粘连性疾病并使生育复杂化。
