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一种使用光纤导管进行长期腰椎压力监测的新方法。

A new method for long-term lumbar pressure monitoring with a fiber optic catheter.

作者信息

Bolander H G

机构信息

Department of Neurosurgery, University Hospital, Uppsala, Sweden.

出版信息

Acta Neurochir (Wien). 1990;105(3-4):135-9. doi: 10.1007/BF01669997.

DOI:10.1007/BF01669997
PMID:2275425
Abstract

A new method for long-term monitoring of cerebrospinal fluid (CSF) pressure in the spinal canal using a catheter with a fiberoptic pressure monitor is described. This method has been used in the investigation of 16 patients with communicating hydrocephalus (CH). Duration of monitoring ranged from 2-48 hours without any complications. In 6 cases the recording was interrupted prematurely. Valuable data on the patterns of pressure variation could be attained and the occurrence of B-waves showed a good correlation with the clinical outcome of shunt operation. No sign of external or internal leakage of CSF was observed during the first 24 hours of monitoring. This technique could prove to be a less invasive method for evaluation of CSF-pressure in patients with CH or other diseases where CSF-pressure in the spinal canal can have some clinical significance.

摘要

描述了一种使用带有光纤压力监测器的导管对椎管内脑脊液(CSF)压力进行长期监测的新方法。该方法已用于对16例交通性脑积水(CH)患者的研究。监测持续时间为2至48小时,无任何并发症。6例记录提前中断。可获得有关压力变化模式的宝贵数据,并且B波的出现与分流手术的临床结果显示出良好的相关性。在监测的前24小时内未观察到CSF外部或内部渗漏的迹象。对于CH患者或其他椎管内CSF压力具有一定临床意义的疾病,该技术可能被证明是一种侵入性较小的CSF压力评估方法。

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引用本文的文献

1
Testing of cerebrospinal compensatory reserve in shunted and non-shunted patients: a guide to interpretation based on an observational study.分流和未分流患者的脑脊液代偿储备测试:基于一项观察性研究的解读指南
J Neurol Neurosurg Psychiatry. 1996 May;60(5):549-58. doi: 10.1136/jnnp.60.5.549.
2
The fidelity and dynamic response of fluid-filled catheter systems for direct measurement of lumbar cerebrospinal fluid pressure.用于直接测量腰段脑脊液压力的充液导管系统的保真度和动态响应。
J Clin Monit. 1993 Nov;9(5):314-20. doi: 10.1007/BF01618670.

本文引用的文献

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The predictive value of conductance to outflow of CSF in normal pressure hydrocephalus.脑脊液流出电导在正常压力脑积水患者中的预测价值
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正常压力脑积水患者脑脊液流出的传导性
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