Analysis and treatment of postoperative complications after ventricular-peritoneal shunt in children
-
摘要:
目的分析小儿脑积水行脑室腹腔分流术术后并发症及处理方法。 方法对我院近10年实施的282例脑室腹腔分流术后疗效、并发症分析。 结果30例术后产生并发症，总并发症发生率为10.6%。其中分流管堵塞17例（腹腔端堵塞12例，脑室端堵塞4例，分流阀堵塞1例）。术后颅内感染4例，伤口感染3例。腹腔囊肿1例，肠穿孔2例，直肠内移位1例。脑室端脱出1例，硬膜下积液1例。 结论小儿脑室腹腔分流术治疗小儿脑积水是安全、有效的，需掌握手术技巧，采取措施预防并发症。 Abstract:Objective To analyze the postoperative complications and their treatment after ventricular-peritoneal shunt in children. Methods The information of 282 children with hydrocephalus who were performed ventricular-peritoneal shunt in recent 10 years was collected and the rate of postoperative complications was analyzed. Results The postoperative complications occurred in 30 cases (10.6%).There were obstructions of distal end in 12 cases, of proximate ends in 4 cases, and of the valve in 1 case. Postoperative infections occurred in 7 cases (4 cases had intracranial infection and 3 cases had wound infection). 1 case had abdominal cystic, 2 cases had intestinal perforations and 1 case had tube dislocation into the rectum. The proximate end was pulled out in 1 case and leakage of cerebrospinal fluid in 1 case. Conclusion The ventricular-peritoneal shunt is a safe and curative procedure for hydrocephalus in children. The postoperative complications should be prevented and treated appropriately. -
Key words:
- ventricular-peritoneal shunt /
- hydrocephalus /
- postoperative complications /
- children
-
表 1 脑积水手术后并发症
项目 详细情况 例数 百分比 分流管堵塞 腹腔端堵塞 12 4.2 脑室端堵塞 4 1.4 分流阀堵塞 1 0.3 术后感染 颅内感染 3 1 伤口感染 4 1.4 腹腔内脏器并发症 肠穿孔 2 0.7 腹腔囊肿 1 0.3 分流管直肠内移位 1 0.3 其他 脑室端脱出 1 0.3 硬膜下积液 1 0.3 总计 30 10.6 
下载: 导出CSV
-
[1] Piatt JH, Garton HJ. Clinical diagnosis of ventriculoperitoneal shuntfailure among children with hydrocephalus[J]. Pediatr Emerg Care,2008, 24(4): 201-10. doi: 10.1097/PEC.0b013e31816a8d43 [2] Khosrovi H, Kaufman HH, Hrabovsky E, et al. Laparoscopic-assisteddistal ventriculoperitoneal shunt placement[J]. Surg Neurol,1998, 49(2): 127-34; discussion 134-5. doi: 10.1016/S0090-3019(97)00357-1 [3] Sherman Y, Denis D, Bensard, et al. Laparoscopic guidance orrevision of ventriculoperitoneal shunts in children[J]. JSLS, 2006,10(7): 122-5. https://www.researchgate.net/profile/David_Partrick/publication/7073054_Laparoscopic_Guidance_or_Revision_of_Ventriculoperitoneal_Shunts_in_Children/links/0f3175374d8d0a156f000000.pdf?inViewer=true&disableCoverPage=true&origin=publication_detail [4] Pandey A, Gangopadhyay AN, Sharma SP, et al. Placement of theperitoneal end of a ventriculoperitoneal shunt in the suprahepaticspace: does it improve prognosis[J]. Pediatr Neurosurg, 2009, 45(1): 6-10. doi: 10.1159/000202618 [5] Kestle JR, Walker ML, Strata Investigators. A multicenterprospective cohort study of the Strata valve for the management ofhydrocephalus in pediatric patients[J]. J Neurosurg, 2005, 102(2suppl): 141-5. [6] Govender ST, Nathoo N, van Dellen JR. Evaluation of anantibiotic-impregnated shunt system for the treatment ofhydrocephalus[J]. J Neurosurg, 2003, 99(5): 831-9. doi: 10.3171/jns.2003.99.5.0831 [7] Sood S, Lokuketagoda J, Ham SD. Periventricular rigidity inlong-term shunt-treated hydrocephalus[J]. J Neurosurg, 2005, 102(2 Suppl): 146-9. https://www.ncbi.nlm.nih.gov/pubmed/16156222 -
点击查看大图
图(2) / 表(1)
计量
- 文章访问数: 700
- HTML全文浏览量: 194
- PDF下载量: 0
- 被引次数: 0
