广东医学2011，Vol.32Issue(11)：1380-1382,3.
儿童后颅窝中线肿瘤术后脑积水的原因及其防治
Postoperative hydrocephalus in children with posterior fossa tumors involving the midline: risk factors and prevention.
王翦 1杨宏 1梁建民 1陈晞1
作者信息
- 1. 广州医学院第二附属医院神经外科,广州,510260
- 折叠
摘要
Abstract
Objective To investigate the causes and prevention of postoperative hydrocephalus in children with posterior fossa tumors. Methods Data of 87 children with posterior fossa tumor were retrospectively reviewed. The pre and post - operative hydrocephalus were compared and analyzed. Results Total removed rate of tumor was 85.1％ , with mortality of 2. 3％. Permanent cerebrospinal fluid ( CSF ) diversion was reqired in 14 cases ( 16. 1％ ), with averaged age of ( 4. 6 ± 1.6 )years, among which 7 cases ( 8.0％ ) received ventriculoperitoneal shunting ( VPS ) in 6 weeks and VPS or endoscopic third ventriculostomy ( ETV ) 2 ～ 35 months after surgery. Postoperative hydrocephalus requiring surgery treatment was revealed in 8, 4 and 2 cases with ependymoma, medulloblastoma and astrocytoma, respectively. Conclusion Pre - rectional VPS and ETV are not necessary for the children with posterior fossa tumors. Age of surgery, pathology of the tumor and extension of tumor resection were significantly associated with definitive postoperative CSF diversion.关键词
后颅窝/中线/肿瘤/手术/脑积水Key words
posterior fossa tumor/ cerebrospinal fluid shunt/ endoscopic third ventriculostony/ pediatric neurosurgery/ hydrocephalus引用本文复制引用
王翦,杨宏,梁建民,陈晞..儿童后颅窝中线肿瘤术后脑积水的原因及其防治[J].广东医学,2011,32(11):1380-1382,3.
