实用心脑肺血管病杂志
實用心腦肺血管病雜誌
실용심뇌폐혈관병잡지
PRACTICAL JOURNAL OF CARDIAC CEREBRAL PNEUMAL AND VASCULAR DISEASE
2015年
3期
83-84,85
,共3页
脑积水%腰大池-腹腔分流术%侧脑室-腹腔分流术%治疗结果
腦積水%腰大池-腹腔分流術%側腦室-腹腔分流術%治療結果
뇌적수%요대지-복강분류술%측뇌실-복강분류술%치료결과
Hydrocephalus%Lumboperitoneal shunt%Ventriculoperitoneal shunt%Treatment outcome
目的：比较腰大池-腹腔分流术与侧脑室-腹腔分流术治疗交通性脑积水的临床效果。方法选取萍乡市第二人民医院2006年5月—2012年5月收治的经腰大池-腹腔分流术治疗的17例交通性脑积水患者为观察组，另选同期经侧脑室-腹腔分流术治疗的17例交通性脑积水患者为对照组。比较两组患者治疗结果、并发症发生率以及治疗前后神经功能缺损评分。结果治疗后观察组有15例（88.2%）、对照组有14例（82.4%）患者脑积水消失，两组患者术后脑积水消失率比较，差异无统计学意义（χ2=0.234，P>0.05）。观察组患者并发症发生率（11.8%）低于对照组（47.1%）（χ2=5.100，P<0.05）。两组患者治疗前神经功能缺损评分比较，差异无统计学意义（ t=0.029， P>0.05）；观察组患者治疗后神经功能缺损评分低于对照组（t=2.661，P<0.05）。结论腰大池-腹腔分流术与侧脑室-腹腔分流术治疗交通性脑积水均具有良好的临床效果，但腰大池-腹腔分流术能显著改善神经功能缺损程度。
目的：比較腰大池-腹腔分流術與側腦室-腹腔分流術治療交通性腦積水的臨床效果。方法選取萍鄉市第二人民醫院2006年5月—2012年5月收治的經腰大池-腹腔分流術治療的17例交通性腦積水患者為觀察組，另選同期經側腦室-腹腔分流術治療的17例交通性腦積水患者為對照組。比較兩組患者治療結果、併髮癥髮生率以及治療前後神經功能缺損評分。結果治療後觀察組有15例（88.2%）、對照組有14例（82.4%）患者腦積水消失，兩組患者術後腦積水消失率比較，差異無統計學意義（χ2=0.234，P>0.05）。觀察組患者併髮癥髮生率（11.8%）低于對照組（47.1%）（χ2=5.100，P<0.05）。兩組患者治療前神經功能缺損評分比較，差異無統計學意義（ t=0.029， P>0.05）；觀察組患者治療後神經功能缺損評分低于對照組（t=2.661，P<0.05）。結論腰大池-腹腔分流術與側腦室-腹腔分流術治療交通性腦積水均具有良好的臨床效果，但腰大池-腹腔分流術能顯著改善神經功能缺損程度。
목적：비교요대지-복강분류술여측뇌실-복강분류술치료교통성뇌적수적림상효과。방법선취평향시제이인민의원2006년5월—2012년5월수치적경요대지-복강분류술치료적17례교통성뇌적수환자위관찰조，령선동기경측뇌실-복강분류술치료적17례교통성뇌적수환자위대조조。비교량조환자치료결과、병발증발생솔이급치료전후신경공능결손평분。결과치료후관찰조유15례（88.2%）、대조조유14례（82.4%）환자뇌적수소실，량조환자술후뇌적수소실솔비교，차이무통계학의의（χ2=0.234，P>0.05）。관찰조환자병발증발생솔（11.8%）저우대조조（47.1%）（χ2=5.100，P<0.05）。량조환자치료전신경공능결손평분비교，차이무통계학의의（ t=0.029， P>0.05）；관찰조환자치료후신경공능결손평분저우대조조（t=2.661，P<0.05）。결론요대지-복강분류술여측뇌실-복강분류술치료교통성뇌적수균구유량호적림상효과，단요대지-복강분류술능현저개선신경공능결손정도。
Objective To compare the clinical effect on communicative hydrocephalus between lumboperitoneal shunt and ventriculoperitoneal shunt. Methods From May 2006 to May 2012 in the Second People′s Hospital of Pingxiang,17 patients with communicative hydrocephalus undergoing lumboperitoneal shunt were selected as observation group, while 17 patients with communicative hydrocephalus undergoing ventriculoperitoneal shunt were selected as control group. Clinical effect, incidence of complications and neurological function deficit score before and after treatment were compared between the two groups. Results The disappearance rate of hydrocephalus of observation group was 88. 2%,that of control group was 82. 4%, the difference was not statistically significantly different(χ2 =0. 234,P>0. 05). The incidence of complications of observation group was 11. 8%,was lower than that of control group of 47. 1% (χ2 =5. 100,P <0. 05). No statistically significant differences of neurological function deficit score was found between the two groups before treatment(t =0. 029,P >0. 05), while neurological function deficit score of observation group was lower than that of control group after treatment(t=2. 661,P<0. 05). Conclusion Both of lumboperitoneal shunt and ventriculoperitoneal shunt has good clinical effect on communicative hydrocephalus,while lumboperitoneal shunt can effectively improve the patients′neurological function.
