CAJ | 학술논문

目的：通过对比研究，探讨可调压分流管治疗儿童交通性脑积水的优势及临床使用经验。方法回顾我科自2006年1月至2011年7月通过脑室-腹腔分流术（VPS）治疗的儿童交通性脑积水共86例，50例采用可调压分流管，36采用固定压分流管。对两组的成功率和并发症进行分析比较。结果可调压组首次手术成功率84.00%，固定压组首次手术成功率63.89%，两组间比较差异有统计学意义（χ2=4.587, P<0.05）。可调压组并发症发生率16.00%，固定压组并发症发生率36.11%，两组间比较差异有统计学意义（χ2=4.587, P<0.05）。分流不足和过度分流病例占固定压组并发症总数的69.23%，可调压组无分流不足和过度分流病例。结论可调压分流管的个体化调节功能符合儿童生长发育特点，能有效降低并发症发生率、提高治疗效果，在儿童交通性脑积水VPS治疗中较固定压分流管有明显优势。
목적：통과대비연구，탐토가조압분류관치료인동교통성뇌적수적우세급림상사용경험。방법회고아과자2006년1월지2011년7월통과뇌실-복강분류술（VPS）치료적인동교통성뇌적수공86례，50례채용가조압분류관，36채용고정압분류관。대량조적성공솔화병발증진행분석비교。결과가조압조수차수술성공솔84.00%，고정압조수차수술성공솔63.89%，량조간비교차이유통계학의의（χ2=4.587, P<0.05）。가조압조병발증발생솔16.00%，고정압조병발증발생솔36.11%，량조간비교차이유통계학의의（χ2=4.587, P<0.05）。분류불족화과도분류병례점고정압조병발증총수적69.23%，가조압조무분류불족화과도분류병례。결론가조압분류관적개체화조절공능부합인동생장발육특점，능유효강저병발증발생솔、제고치료효과，재인동교통성뇌적수VPS치료중교고정압분류관유명현우세。
Objective To explore the advantages and application of adjustable shunt valve in treatment of chil-dren with Communicating hydrocephalus. Methods Eighty six consecutive children undergoing surgery treatment for Communicating hydrocephalus from January 2006 to July 2011 were included in this retrospective study. Fifty cases re-ceived adjustable shunt valve whereas the rest received standard shunt valve. Results The success rate was 84.00% in the adjustable shunt valve group and 63.89%in the standard shunt valve group. Complication rate was 16.00%in the ad-justable shunt valve group and 36.11% in the standard shunt valve group. Inadequate and excessive shunt rate was 69.23% in the standard shunt valve group and zero% in adjustable shunt valve group. Compared with standard shunt valve group, adjustable shunt valve group had significantly higher success rate and lower complication rate (All P<0.05). Conclusions Adjustable shunt valve effectively reduce the complication rate and improve the success rate. In addition, adjustable shunt valve is superior to standard shunt valve in the treatment of children with communicating hydrocephalus because it fits for the development of children.