Jian Lin, Hang-song Sheng, Zheng-lang Lin, Li-sheng Yu, Heng Wang, Nu Zhang
Department of Neurosurgery, Yuying Children's Hospital of Wenzhou Medical Collage, No. 109 Xueyuanxilu Street, Wenzhou, Zhejiang, 325027, China.
Childs Nerv Syst. 2012 Oct;28(10):1687-91. doi: 10.1007/s00381-012-1847-0. Epub 2012 Jul 1.
This study aims to evaluate effects and complications of the implantation of Ommaya reservoir in premature infants with posthemorrhagic hydrocephalus (PHH).
The effects and complications of the implantation of Ommaya reservoir in seven premature infants with PHH were retrospectively analyzed. Intracapsular puncture of the reservoir was performed for draining cerebrospinal fluid.
Seven extremely low-weight premature infants with PHH (birthweight less than 1,000 g) were treated with the placement of an Ommaya reservoir. Ommaya reservoirs in five infants were removed, but were retained in two infants. Two premature infants had to undergo ventriculoperitoneal (VP) shunt. Postsurgical major complications (including skin dehiscence, cerebrospinal fluid (CSF) infection, ventricular hemorrhage, and CSF leak) occurred in 57% of all patients. Three infants of skin dehiscence and CSF leak occurred. Two infants of CSF infection occurred, as well as one clinically significant secondary hemorrhage. Six infants survived, and one died.
The implantation of Ommaya reservoir is a cautious option of treating low-weight premature infants with PHH because of a relatively high complication rate. However, VP shunt surgery may be avoided in some infants.
本研究旨在评估奥马亚贮液器植入术对出血后脑积水（PHH）早产儿的疗效及并发症。
回顾性分析7例PHH早产儿奥马亚贮液器植入术的疗效及并发症。通过贮液器囊内穿刺引流脑脊液。
7例极低体重的PHH早产儿（出生体重小于1000 g）接受了奥马亚贮液器置入治疗。5例婴儿的奥马亚贮液器被取出，2例婴儿的贮液器被保留。2例早产儿不得不接受脑室腹腔（VP）分流术。所有患者中57%发生术后主要并发症（包括皮肤裂开、脑脊液（CSF）感染、脑室内出血和脑脊液漏）。发生3例皮肤裂开和脑脊液漏婴儿。发生2例脑脊液感染婴儿，以及1例具有临床意义的继发性出血。6例婴儿存活，1例死亡。
由于并发症发生率相对较高，奥马亚贮液器植入术是治疗低体重PHH早产儿的谨慎选择。然而，在某些婴儿中可避免VP分流手术。
