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分流器移位:抽水试验的一种并发症。

The Shunt Slippage: A Complication of Pumping Test.

作者信息

Kim El

机构信息

Department of Neurosurgery, Dongsan Hospital, Keimyung University School of Medicine, Daegu, Korea.

出版信息

Korean J Neurotrauma. 2022 Feb 10;18(1):110-115. doi: 10.13004/kjnt.2022.18.e5. eCollection 2022 Apr.

DOI:10.13004/kjnt.2022.18.e5
PMID:35557644
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9064754/
Abstract

Surgery for the placement of a ventriculoperitoneal shunt incurs numerous procedure-related complications. Distal dislodgment of the device from the cranial insertion site after pumping of the shunt chamber has rarely occurred and it has not been evaluated to date. Herein, we report an interesting case of a 20-year-old man who underwent shunt revision for ventricular catheter migration after a manual pumping test. We reviewed previously reported cases related to such rare conditions and described a simple method of valve fixation for preventing disconnection and migration of the proximal shunt system.

摘要

脑室腹腔分流术会引发许多与手术相关的并发症。在对分流腔进行抽吸后,分流装置从颅骨插入部位向远端移位的情况极为罕见,且迄今为止尚未得到评估。在此,我们报告一例有趣的病例,一名20岁男性在进行手动抽吸测试后因脑室导管移位而接受了分流器修复手术。我们回顾了先前报道的与此类罕见情况相关的病例,并描述了一种简单的瓣膜固定方法,以防止近端分流系统的断开和移位。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8900/9064754/31e4e4064836/kjn-18-110-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8900/9064754/b69c72909b9d/kjn-18-110-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8900/9064754/31e4e4064836/kjn-18-110-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8900/9064754/b69c72909b9d/kjn-18-110-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8900/9064754/31e4e4064836/kjn-18-110-g002.jpg

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The Shunt Slippage: A Complication of Pumping Test.分流器移位:抽水试验的一种并发症。
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本文引用的文献

1
"Shunt pumping test": detecting its efficacy through an experimental model.“分流泵测试”:通过实验模型检测其疗效。
Childs Nerv Syst. 2021 May;37(5):1597-1604. doi: 10.1007/s00381-020-04998-5. Epub 2021 Jan 6.
2
Spontaneous Coiling of Peritoneal Catheter-Uncommon Complication of Ventriculoperitoneal Shunt: Recognition and Management.腹膜导管的自发性卷曲——脑室腹腔分流术的罕见并发症:识别与处理
J Pediatr Neurosci. 2018 Oct-Dec;13(4):486-489. doi: 10.4103/JPN.JPN_63_18.
3
Migration of the Distal Catheter of Ventriculoperitoneal Shunts in Pediatric Age Group: Case Series.
小儿脑室腹腔分流术远端导管移位:病例系列
World Neurosurg. 2018 Nov;119:e131-e137. doi: 10.1016/j.wneu.2018.07.073. Epub 2018 Jul 19.
4
Intra-ventricular migration of a subcutaneous reservoir after neuroendoscopy.
Childs Nerv Syst. 2017 Dec;33(12):2079-2080. doi: 10.1007/s00381-017-3606-8. Epub 2017 Oct 3.
5
Retrograde Partial Migration of Ventriculoperitoneal Shunt with Chamber: Review of Causative Factors and Its Prevention.带腔脑室腹腔分流管逆行部分移位:病因及预防的综述
J Pediatr Neurosci. 2017 Jan-Mar;12(1):93-95. doi: 10.4103/1817-1745.205654.
6
Risk factors associated with distal catheter migration following ventriculoperitoneal shunt placement.脑室腹腔分流术后远端导管移位的相关危险因素。
J Clin Neurosci. 2016 Mar;25:46-9. doi: 10.1016/j.jocn.2015.07.022. Epub 2015 Nov 6.
7
Ventriculo-peritoneal shunt malfunction due to complete migration and subgaleal coiling of the proximal and distal catheters.脑室-腹腔分流管故障,原因是近端和远端导管完全移位并在帽状腱膜下盘绕。
J Clin Neurosci. 2015 Jan;22(1):224-6. doi: 10.1016/j.jocn.2014.08.005. Epub 2014 Oct 28.
8
Unusual complications of ventriculo peritoneal shunt surgery.脑室腹腔分流术的罕见并发症
J Neurosci Rural Pract. 2012 Sep;3(3):361-4. doi: 10.4103/0976-3147.102628.
9
Revision rate of pediatric ventriculoperitoneal shunts after 15 years.15年后小儿脑室腹腔分流术的翻修率
J Neurosurg Pediatr. 2013 Jan;11(1):15-9. doi: 10.3171/2012.9.PEDS1298. Epub 2012 Oct 26.
10
Shunt malfunction due to proximal migration and subcutaneous coiling of a peritoneal catheter.由于腹膜导管近端移位和皮下盘绕导致的分流器故障。
J Neurosci Rural Pract. 2010 Jul;1(2):120-1. doi: 10.4103/0976-3147.71731.