摘要
目的探讨经颅骨缺失的骨窗实施超声扫描,实时引导分流管脑室端的放置对合并有颅骨缺损的脑积水患者脑室-腹腔分流手术的效果。方法回顾性分析75例开颅术后颅骨缺损合并脑积水行脑室-腹腔分流术患者的临床资料;比较超声组和对照组患者的术中穿刺次数、术中出血量和手术时间及相关并发症,以及随访恢复情况。结果超声组的穿刺次数及术中出血量和手术时间均明显少于对照组(P<0.05-0.005)。术后2周内两组感染、出血并发症发生率的差异无统计学意义(χ^2=2.163,P=0.141)。随访1年以上超声组患者堵管、感染并发症少于对照组,但差异无统计学意义。结论合并颅骨缺损的脑积水患者行脑室-腹腔分流术中采用超声监测引导,脑室端放置更准确,并减少穿刺损伤、手术时间和出血。
Objective To explore the effect of ultrasound scanning in ventriculoperitoneal shunt in patients with hydrocephalus with skull defect after craniotomy.Methods The clinical data of 75 patients with skull defect and hydrocephalus after craniotomy underwent ventriculoperitoneal shunt were analyzed retrospectively.The number of intraoperative puncture,intraoperative blood loss,operative time,related complications,and follow-up recovery were compared between the ultrasound group and the control group groups.Results The number of puncture,intraoperative blood loss and operative time in the ultrasound group were significantly less than those in the control group(P<0.05-0.005).There was no statistically significant difference in the incidence of infection and bleeding complications between the two groups within 2 weeks after surgery(χ^2=2.163,P=0.141).The complications of tube blockage and infection in the ultrasound group were less than those in the control group follow up for more than 1 year,but there was no statistical significance.Conclusion VP shunt surgery for hydrocephalus patientswith skull defect,real-time guidance of ultrasound technology can be used to obtain a better and ideal position of the ventricle end of shunt,and the puncture injury,operation time and bleeding were reduced.
作者
蔡宁
王彬彬
李征
陈炳霖
刘宁
CAI Ning;WANG Bin-bin;LI Zheng(Department of Neurosurgery, Affiliated Hospital of Jiangsu University, Zhenjiang 212000, China)
出处
《临床神经外科杂志》
CAS
2020年第2期196-199,共4页
Journal of Clinical Neurosurgery
基金
镇江市社会发展重点研发计划(SH2019030)。
关键词
脑积水
术中超声
脑室-腹腔分流手术
颅骨缺损
hydrocephalus
intraoperative ultrasonography
ventriculoperitoneal shunt
skull defect
