CAJ | 학술논문

目的探讨小儿脑室-腹腔分流术(VPS)后并发症的原因及处理方法.方法回顾性分析广东省人民医院神经外科自2005年3月至2011年3月收治的22例VPS术后出现并发症患儿的临床资料,总结并分析发生并发症的原因及处理结果.结果 22例发生并发症的病例中,分流管脑室端堵塞6例,腹腔端堵塞4例,感染6例,硬膜下积液4例,缝隙脑室综合征(SVS)2例.经过相应处理,有效率为95.5％,无死亡病例,1例感染患儿放弃治疗.结论小儿VPS术后并发症发生率高,针对并发症原因予以积极处理,可达到良好疗效.
목적 탐토소인뇌실-복강분류술(VPS)후병발증적원인급처리방법.방법 회고성분석광동성인민의원신경외과자2005년3월지2011년3월수치적22례VPS술후출현병발증환인적림상자료,총결병분석발생병발증적원인급처리결과.결과 22례발생병발증적병례중,분류관뇌실단도새6례,복강단도새4례,감염6례,경막하적액4례,봉극뇌실종합정(SVS)2례.경과상응처리,유효솔위95.5％,무사망병례,1례감염환인방기치료.결론 소인VPS술후병발증발생솔고,침대병발증원인여이적겁처리,가체도량호료효.
Objective To explore the treatments of complications in children after ventriculo-peritoneal shunt (VPS) and its complication appearance reasons.Methods The clinical data of 22 patients occurred complications after VPS,admitted to and performed VPS in our hospital from March 2005 to March 2011,were reviewed retrospectively.The reasons for the complications and treatment results were summarized.Results Obstruction of proximate tube appeared in 6 cases,obstruction of distal end in 4 cases,postoperative infection in 6 cases,subdural hydroma in 4 cases,and silt ventricle syndrome in 2 cases.The short-term response was 955％ after proper treatment.None died for related complications and one child with postoperative infection gave up treatment.Conclusion High risk of complications is noted in children performed VPS; active management based on the reasons of complications can acquire satisfactory curative effects.