CAJ | 학술논문

目的探讨婴幼儿脑积水脑室-腹腔分流术后常见并发症发生的原因,改进手术方法,以减少术后并发症发生,提高临床疗效.方法回顾性分析39例植入可调压式分流管治疗不同类型婴幼儿脑积水患儿的手术方法、结果和并发症发生情况,并提出处理对策.结果 30例患儿术后临床症状较术前明显改善,头颅CT复查均见脑室明显回缩.9例患儿术后出现并发症,其中分流管梗阻4例,分流管外露3例,颅内感染2例.结论脑室-腹腔分流术的并发症与手术本身有关,改进手术方法,采取相应处理对策,严格无菌操作,注意术中的每一个细节,可有效减少并发症的发生.
목적 탐토영유인뇌적수뇌실-복강분류술후상견병발증발생적원인,개진수술방법,이감소술후병발증발생,제고림상료효.방법 회고성분석39례식입가조압식분류관치료불동류형영유인뇌적수환인적수술방법、결과화병발증발생정황,병제출처리대책.결과 30례환인술후림상증상교술전명현개선,두로CT복사균견뇌실명현회축.9례환인술후출현병발증,기중분류관경조4례,분류관외로3례,로내감염2례.결론 뇌실-복강분류술적병발증여수술본신유관,개진수술방법,채취상응처리대책,엄격무균조작,주의술중적매일개세절,가유효감소병발증적발생.
Objective To analyze the complications ofventriculoperitoneal shunt in the treatment of pediatric hydrocephalus,and improve operative method,in order to reduce postoperative complications and improve the clinical curative effect.Methods A total of 39 infants with hydrocephalus who underwent adjustable shunt were retrospectively analyzed,including surgical methods,results,and complications,and put forward counter measures.Results Thirty cases of postoperative clinical symptoms obviously improved compared with preoperative,head CT review were clearly seen with ventricle retraction.Nine cases suffered with complications after operation.Obstruction of shunt tube was found in 4 cases,shunt exposed in 3 cases,and postoperative infection in 2 cases.Conclusions Ventriculoperitoneal shunt complications related to surgery itself.Improved surgical techniques,and taking appropriate treatment measures can effectively reduce the incidence of complications.