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脑积水的脑室腹腔分流术:常见神经外科手术之一及其相关问题

Ventriculoperitoneal Shunt Surgery for Hydrocephalus: One of the Common Neurosurgical Procedures and Its Related Problems.

作者信息

Javeed Farrukh, Mohan Anmol, Wara Um Ul, Rehman Lal, Khan Maham

机构信息

Neurological Surgery, Jinnah Postgraduate Medical Centre, Karachi, PAK.

Medicine, Karachi Medical and Dental College, Karachi, PAK.

出版信息

Cureus. 2023 Feb 15;15(2):e35002. doi: 10.7759/cureus.35002. eCollection 2023 Feb.

Abstract

Objective This study was conducted to assess the outcome in patients with hydrocephalus who underwent ventriculoperitoneal (VP) shunt surgery. Methods This retrospective study was conducted at the neurosurgery department of a tertiary care hospital. The time frame was three years and five months from January 2017 to May 2020 with a follow-up of six months. Results This study included 1030 patients, out of whom 64.2% were male and 35.8% were female. While the majority of the patients were more than 11 years of age (466), age did not have any significant impact on the outcome of the ventriculoperitoneal shunt surgery. The most common cause of hydrocephalus was congenital (47.6%). A good outcome was seen in 63.4%, mortality was 10.6%, and complications were identified for 25.8%. The underlying pathology had a significant impact on the outcome in our study (p-value < 0.05) where the congenital cause of hydrocephalus showed a better outcome than any other cause. Conclusion Ventriculoperitoneal shunt is a good way to manage hydrocephalus, but there is always a high risk of complications.

摘要

目的 本研究旨在评估接受脑室腹腔(VP)分流手术的脑积水患者的治疗结果。方法 本回顾性研究在一家三级护理医院的神经外科进行。时间范围为2017年1月至2020年5月的三年零五个月,随访时间为六个月。结果 本研究纳入1030例患者,其中64.2%为男性,35.8%为女性。虽然大多数患者年龄超过11岁(466例),但年龄对脑室腹腔分流手术的结果没有任何显著影响。脑积水最常见的原因是先天性(47.6%)。63.4%的患者预后良好,死亡率为10.6%,并发症发生率为25.8%。在我们的研究中,潜在病理对结果有显著影响(p值<0.05),其中先天性脑积水原因的预后比任何其他原因都要好。结论 脑室腹腔分流术是治疗脑积水的一种好方法,但并发症风险始终很高。

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