CAJ | 학술논문

目的：探讨经脐静脉侧脑室门静脉分流治疗脑室腹腔分流(VPS)失败后的创伤性脑积水中应用。方法回顾分析解放军第105医院神经外科于2011年2月至2013年11月收治的8例创伤性脑积水患者行多次脑室腹腔分流失败后的临床资料，改用经脐静脉侧脑室门静脉分流术，观察术后分流效果及临床症状改善情况，结合有关文献总结手术经验与技巧。结果术后患者临床症状明显改善，未出现分流管堵塞、感染、血栓等并发症，随访10~18个月，复查头颅CT，患者脑积水均有不同程度改善。结论创伤性脑积水行多次VPS失败后改行经脐静脉侧脑室门静脉分流术，可取得较好疗效。
목적：탐토경제정맥측뇌실문정맥분류치료뇌실복강분류(VPS)실패후적창상성뇌적수중응용。방법회고분석해방군제105의원신경외과우2011년2월지2013년11월수치적8례창상성뇌적수환자행다차뇌실복강분류실패후적림상자료，개용경제정맥측뇌실문정맥분류술，관찰술후분류효과급림상증상개선정황，결합유관문헌총결수술경험여기교。결과술후환자림상증상명현개선，미출현분류관도새、감염、혈전등병발증，수방10~18개월，복사두로CT，환자뇌적수균유불동정도개선。결론창상성뇌적수행다차VPS실패후개행경제정맥측뇌실문정맥분류술，가취득교호료효。
Objective To explore the clinical effect of ventricular-hepatoportal shunt via the umbilical vein for treatment of traumatic hydrocephalus after failure of Ventricular-hepatoportal shunt (VPS). Methods The clinical data of eight patients treated via the umbilical vein ventricular-hepato-portal shunt for traumatic hydrocephalus in our department after previous multiple VP failures, were analyzed retrospectively. The effects and clinical improvement symptoms after operation were observed, and related literature were reviewed to summarize the surgical experiences and skills. Results The clinical symptoms were significantly improved after surgery, and no significant complications as tube blockage, infection, blood clots occured. We follow-up the patients 10~18 months, the brain CT showed that the hydrocephalus got well improvement. Conclusion Traumatic hydrocephalus after failures of previous multiple ventricular-peritoneal shunt via the umbilical vein ventricular-hepatoportal shunt can receive better results.