CAJ | 학술논문

目的探讨罕见的脑室-腹腔分流管移位至心脏的发病机制、临床特点、诊治方法及并发症.方法分析2例脑室-腹腔分流管移位至心脏的诊治过程,并结合文献对本病的预防及诊治进行讨论.结果通过临床表现及影像学检查明确诊断,手术顺利拔除了移位的分流管,术中及术后患者病情平稳.结论首次在国内报道了脑室-腹腔分流管移位至心脏的病例；在脑室-腹腔分流术中注意通条打皮下隧道时不宜过深或过浅,通条头部不宜过尖；术后出现异常应复查头部CT、胸片及腹片；直接从头部原切口处切开拔除分流管是简单、可行、安全的手术方式.
목적 탐토한견적뇌실-복강분류관이위지심장적발병궤제、림상특점、진치방법급병발증.방법 분석2례뇌실-복강분류관이위지심장적진치과정,병결합문헌대본병적예방급진치진행토론.결과 통과림상표현급영상학검사명학진단,수술순리발제료이위적분류관,술중급술후환자병정평은.결론수차재국내보도료뇌실-복강분류관이위지심장적병례；재뇌실-복강분류술중주의통조타피하수도시불의과심혹과천,통조두부불의과첨；술후출현이상응복사두부CT、흉편급복편；직접종두부원절구처절개발제분류관시간단、가행、안전적수술방식.
Objective To discuss the mechanism,clinical features,complications,diagnosis criteria and treatment of intracardiac migration of the distal catheter of ventriculoperitoneal shunt.Method The diagnosis criteria and treatment of 2 cases of intracardiac migration of the distal catheter of ventriculoperitoneal shunt were studied,and relative literatures were reviewed.Results The migratory catheter was successfully extracted after definite diagnosis according to clinical features and imaging findings.There was no postoperative abnormality.Conclusions This is the first report of migration of the distal catheter of ventriculoperitoneal shunt into heart in China.The possible measures to minimize the incidence of the migration include avoiding deep or superficial neck tunneling and using blunt tunneling devices.Head CT,chest and abdominal x - ray are needed if postoperative abnormality is noticed.Percutaneous removal of the catheter from the retroauricular fomer incision is simple and safe.