用于脑积水的脑室腹腔分流术。
Ventriculoperitoneal shunting for hydrocephalus.
作者信息
Robertson J S, Maraqa M I, Jennett B
出版信息
Br Med J. 1973 May 5;2(5861):289-92. doi: 10.1136/bmj.2.5861.289.
Abstract
Revision rate and complications were reviewed in 297 patients of all ages subjected to ventriculoperitoneal shunting and adequately followed. Both operative mortality and deaths due to complications of this type of shunt were much lower than after ventriculocaval shunts. Although 44% required revision a third of the cases had a period of three years without revision; two-thirds of these went for three years after the initial operation without need for operation. This shunt should be considered both in children and in adults because it is no more likely to block than ventriculoatrial, is easier to revise, and the other complications are fewer and much less serious.
摘要
对297例接受脑室腹腔分流术且随访充分的各年龄段患者的翻修率和并发症进行了回顾。这种类型分流术的手术死亡率和因并发症导致的死亡均远低于脑室静脉分流术后。尽管44%的患者需要翻修，但三分之一的病例有三年无需翻修期；其中三分之二在初次手术后三年无需再次手术。无论是儿童还是成人都应考虑使用这种分流术，因为它堵塞的可能性并不高于脑室心房分流术，更易于翻修，且其他并发症更少、严重程度更低。
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