CAJ | 학술논문

目的探讨可调压与非可调压分流管治疗儿童交通性脑积水的效果.方法中山大学附属第一医院神经外科自2003年1月至2009年12月行侧脑室腹腔分流术(VPS)治疗交通性脑积水儿童患者66例,其中采用Codman Hakim可调压分流管27例,采用Medtronic非可调压分流管39例,比较可调压分流管组和非可调压分流管组患者的并发症和分流装置平均生存时间.结果 2组患者分流管相关性感染、脑室端和腹腔端堵塞、硬膜下积液或血肿的发生率比较差异均无统计学意义(P＞0.05).可调压分流管组分流装置平均生存时间为52.55个月,非可调压分流管组分流装置平均生存时间为42.33个月,2组分流装置生存曲线相比较差异无统计学意义(x2=0.763,P=0.382).结论与非可调压分流管相比,未发现使用可调压分流管治疗儿童交通性脑积水有明显的优势.
목적 탐토가조압여비가조압분류관치료인동교통성뇌적수적효과.방법 중산대학부속제일의원신경외과자2003년1월지2009년12월행측뇌실복강분류술(VPS)치료교통성뇌적수인동환자66례,기중채용Codman Hakim가조압분류관27례,채용Medtronic비가조압분류관39례,비교가조압분류관조화비가조압분류관조환자적병발증화분류장치평균생존시간.결과 2조환자분류관상관성감염、뇌실단화복강단도새、경막하적액혹혈종적발생솔비교차이균무통계학의의(P＞0.05).가조압분류관조분류장치평균생존시간위52.55개월,비가조압분류관조분류장치평균생존시간위42.33개월,2조분류장치생존곡선상비교차이무통계학의의(x2=0.763,P=0.382).결론 여비가조압분류관상비,미발현사용가조압분류관치료인동교통성뇌적수유명현적우세.
Objective To analyze the outcomes of adjustable and set-pressure valves in the management of communicating hydrocephalus in children. Methods A retrospective study reviewing the medical records of 66 children with communicating hydrocephalus who received ventriculoperitoneal shunt at our center from January 2003 to December 2009 was performed. All the patients were divided into 2 groups: Codman Hakim adjustable valve group (n=27) and Medtronic set-pressure valve group (n=39). Rate of appearing complication and shunt survival time were analyzed between the 2 groups.Results The rate of shunt infection, proximal or distal obstruction, subdural hematoma and subdural hygroma showed no statistical significance between patients of the adjustable and set-pressure valve groups (P=1.000, P=0.727, P=0.455, P=0.691, respectively). The average shunt survival time of children in the adjustable valve group was 52.551 months (38.169-66.852, 95% CI) and that of children in the set-pressure valve group was 42.327 (31.636-53.019, 95%CI); no statistical significance on the average shunt survival time between these 2 groups was noted (x2=0.763, P=0.382).Conclusion The adjustable valve is not superior to set-pressure valve in the treatment of communicating hydrocephalus in children.