Kumar V, Phipps K, Harkness W, Hayward R D
Great Ormond Street Hospital for Children, London, UK.
Br J Neurosurg. 1996 Oct;10(5):467-70. doi: 10.1080/02688699647096.
The authors reviewed 175 paediatric patients with posterior fossa tumours treated at the Hospital for Sick Children at Great Ormond Street, London, between 1983 and 1993, in an attempt to determine the requirement for shunt procedures in these children. The age of the patient population ranged from 4 months to 14 years 6 months. The factors evaluated included age at diagnosis, tumour type, extent of surgical resection, and the presence of CSF leak and/or infection. Shunt placement was required postoperatively in 18.9% of patients. Age of the patient was felt to be a significant factor in the need for shunt placement. Tumour type and completeness of tumour excision were also felt to be significant factors affecting the need for post-operative shunt insertion.
作者回顾了1983年至1993年间在伦敦大奥蒙德街儿童医院接受治疗的175例患有后颅窝肿瘤的儿科患者，试图确定这些儿童对分流手术的需求。患者年龄范围为4个月至14岁6个月。评估的因素包括诊断时的年龄、肿瘤类型、手术切除范围以及脑脊液漏和/或感染的存在情况。18.9%的患者术后需要放置分流管。患者年龄被认为是需要放置分流管的一个重要因素。肿瘤类型和肿瘤切除的完整性也被认为是影响术后是否需要插入分流管的重要因素。
