摘要
目的:探讨腹腔镜脑室腹膜分流术治疗脑积水的临床应用价值,总结并发症发生的原因及预防措施。方法:回顾分析60例患者行腹腔镜脑室腹膜分流术的临床资料。结果:60例患者无一例手术死亡,40例术后临床症状较术前明显改善,14例发生并发症,发生率约23.3%,其中分流管梗阻6例,感染4例,硬膜下积液4例。结论:严格掌握手术指征,围手术期精心的准备,选择合适的分流管,严格无菌操作,特别是腹腔镜下完成腹部手术,可有效减少并发症的发生。
Objective：To investigate the clinical value of laparoscopic ventriculoperitoneal shunt in treatment of hydrocephalus,and summary the reasons and measures of preventing the complications.Methods：The clinical data of 60 cases of hydrocephalus treated by laparoscopic ventriculoperitoneal shunt were retrospectively reviewed.Results： No patients died during operation and clinical symptoms of 40 cases significantly improved compared with the preoperative.There were 14 cases（23.3%）got postoperative complications.There were 6 cases with the obstruction of the catheter,4 cases with infection,4 cases with subdural hygroma.Conclusions：Strictly surgical indications,careful perioperative preparation,the appropriate shunt tube,strict aseptic technique,especially completely laparoscopic abdominal surgery,can effectively reduce the incidence of complications.
出处
《腹腔镜外科杂志》
2011年第6期433-435,共3页
Journal of Laparoscopic Surgery
关键词
脑积水
脑室腹膜分流术
腹腔镜检查
并发症
预防
Hydrocephalus
Ventriculoperitoneal shunt
Laparoscopy
Complications
Prevention
