Parent A D, McMillan T
Department of Neurosurgery, University of Mississippi Medical Center, Jackson 39216-4505, USA.
Pediatr Neurosurg. 1995;22(3):132-5; discussion 136. doi: 10.1159/000120890.
The combination of overt hydrocephalus and an open myelomeningocele in a newborn has prompted some authors to advocate the repair of the myelomeningocele and the performance of a shunt procedure during the same anesthetic procedure. Advocates of this approach stress the merits of administering only one anesthetic, diminution in incidence of cerebrospinal fluid leaks from the repair, and shortened hospital stay and the resultant cost-effectiveness. This study was performed to assess the complication rate of shunts inserted at the time of myelomeningocele repair as well as of those inserted at a later date as a separate procedure. It would later appear that the insertion of a ventriculoperitoneal shunt, contemporaneous with the repair of the myelomeningocele, does not increase the risks of shunt infection or shunt malfunction within the 1st year of life.
新生儿出现显性脑积水和开放性脊髓脊膜膨出的情况，促使一些作者主张在同一麻醉过程中修复脊髓脊膜膨出并进行分流手术。这种方法的支持者强调仅使用一种麻醉剂的优点、修复部位脑脊液漏发生率的降低、住院时间的缩短以及由此产生的成本效益。本研究旨在评估在脊髓脊膜膨出修复时插入分流管以及稍后作为单独手术插入分流管的并发症发生率。后来发现，在修复脊髓脊膜膨出的同时插入脑室腹腔分流管，在生命的第1年内不会增加分流管感染或分流管故障的风险。
