脑积水分流手术的疗效分析
Outcome analysis of shunt surgery in hydrocephalus.
作者信息
Ahmed Ashraf, Sandlas Gursev, Kothari Paras, Sarda Dinesh, Gupta Abhaya, Karkera Parag, Joshi Prashant
机构信息
Department of Pediatric Surgery, Lokmanya Tilak Muncipal General Hospital, Sion, Mumbai, India.
出版信息
J Indian Assoc Pediatr Surg. 2009 Jul;14(3):98-101. doi: 10.4103/0971-9261.57700.
AIM
To study the clinical outcome of shunt surgeries in children suffering from hydrocephalus.
METHODS
A prospective study of 50 children with hydrocephalus who underwent a ventriculo-peritoneal shunt insertion over a period of two years. These patients were then followed up for shunt related complications, shunt revisions and outcome.
RESULTS
Twenty six of the 50 patients (52%) suffered from complications. The most common complications were shunt blockage (n=7) and shunt infection (n=6). These complications necessitated repeated shunt revisions.
CONCLUSIONS
Infective complications of hydrocephalus are more likely to leave behind an adverse neurological outcome in the form of delayed milestones and mental retardation.
目的
研究脑积水患儿分流手术的临床结果。
方法
对50例脑积水患儿进行前瞻性研究，这些患儿在两年内接受了脑室-腹腔分流术。随后对这些患者进行随访，观察分流相关并发症、分流修正手术及结果。
结果
50例患者中有26例（52%）出现并发症。最常见的并发症是分流堵塞（n = 7）和分流感染（n = 6）。这些并发症需要反复进行分流修正手术。
结论
脑积水的感染性并发症更有可能以发育迟缓及智力低下的形式导致不良神经学后果。
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