川北医学院学报2025，Vol.40Issue(6)：770-773,4.DOI:10.3969/j.issn.1005-3697.2025.06.019
不同穿刺点脑室-腹腔分流术对继发交通性脑积水患者的效果及并发症发生率对比分析
Comparative analysis of effects and incidence rates of complications of ventriculoperitoneal shunt at different puncture points in patients with sec-ondary communicating hydrocephalus
摘要
Abstract
Objective:To compare the effects and complications of ventriculoperitoneal shunt at different puncture points in the treatment of secondary communicating hydrocephalus.Methods:The clinical data of 122 patients with secondary communicating hydro-cephalus were retrospectively analyzed.According to different surgical methods,the patients were divided into 57 cases in frontal horn group(puncture via frontal horn of lateral ventricle)and 65 cases in occipital horn group(puncture via occipital horn of lateral ventri-cle).The surgical related indicators,preoperative and 1-week postoperative cognitive function[Glasgow Coma Scale(GCS)]and inci-dence rates of complications were compared between the two groups of patients.Results:There were no significant differences in surgical time,intraoperative blood loss,hospitalization time and adjustment rate of secondary surgery between groups(P>0.05).The good rate of postoperative shunt tube position in frontal horn group was higher than that in occipital horn group(P＜0.05).The total incidence rate of complications in frontal horn group was lower compared to occipital horn group(P＜0.05).No obvious difference was observed in GCS score between groups before surgery and on the day and about 1 week after surgery(P>0.05).Conclusion:Both surgical methods can improve the cognitive function of patients.Compared with ventriculoperitoneal shunt through occipital horn puncture for pa-tients with secondary communicating hydrocephalus,frontal horn puncture can more effectively enhance the good rate of postoperative shunt tube position and reduce the incidence rates of complications,it is worthy of application and promotion.关键词
枕角/额角/脑室-腹腔分流术/继发交通性脑积水/安全性Key words
Occipital horn/Frontal horn/Ventriculoperitoneal shunt/Secondary communicating hydrocephalus/Safety分类
医药卫生引用本文复制引用
金将,陈为为..不同穿刺点脑室-腹腔分流术对继发交通性脑积水患者的效果及并发症发生率对比分析[J].川北医学院学报,2025,40(6):770-773,4.基金项目
安徽省高校自然科学研究项目(2023AH053299) （2023AH053299）
