CAJ | 학술논문

目的：探讨可调压式分流管行脑室-腹腔分流术治疗成年人脑积水的临床效果。方法：采用可调压式分流管行脑室-腹腔分流术治疗成年人脑积水20例。术中测量颅内压并根据所测压力调整阀门压力。术后根据头颅CT显示的脑室大小和临床症状的改善调节分流泵的压力。每月复查头颅CT 1次,每次调低或调高1个档次,每月调节1次。结果：出院后随访3~19个月,5例高压性脑积水术后症状均有不同程度的改善,1例出现脑室过小,调高1个档次,共调节1次；15例正常压力脑积水术后1个月内8例症状改善,7例症状改善不明显,进行压力调节；共8例调节,7例症状和影像学改善,1例无改善。结论：使用可调压式分流管行脑室-腹腔分流术,可在术后调整阀门压力,防止并发症,分流效果显著。
목적：탐토가조압식분류관행뇌실-복강분류술치료성년인뇌적수적림상효과。방법：채용가조압식분류관행뇌실-복강분류술치료성년인뇌적수20례。술중측량로내압병근거소측압력조정벌문압력。술후근거두로CT현시적뇌실대소화림상증상적개선조절분류빙적압력。매월복사두로CT 1차,매차조저혹조고1개당차,매월조절1차。결과：출원후수방3~19개월,5례고압성뇌적수술후증상균유불동정도적개선,1례출현뇌실과소,조고1개당차,공조절1차；15례정상압력뇌적수술후1개월내8례증상개선,7례증상개선불명현,진행압력조절；공8례조절,7례증상화영상학개선,1례무개선。결론：사용가조압식분류관행뇌실-복강분류술,가재술후조정벌문압력,방지병발증,분류효과현저。
Objective: To explore the clinical effects of the adjustable ventriculo-peritoneal shunt valve in treating adult hydrocephalus. Methods:Twenty cases with hydrocephalus were treated with the adjustable ventriculo-peritoneal shunt valve. The valve pressure was adjusted according to the intracranial pressure of patients during the operation and the ventricular size in CT and the clinical symptoms after operation. The valve increased or decreased 1 level every month according to the brain CT. Results:All patients were followed up for 3 to 19 months. The high-pressure hydrocephalus symptoms were improved in 5 cases,the valve in 1 case with less ventricle was adjusted to high 1 level. Among 15 cases with normal-pressure hydrocephalus,the improvement in 8 cases and no obvious improvement in 7 cases were found. Among 8 cases treated with adjustment,the improvement of symptom and imaging in 7 cases and no obvious improvement in 1 case were found. Conclusions:The clinical effects of the adjustable ventriculo-peritoneal shunt valve are good,which can prevent complications.