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目的对于小儿脑积水患者,比较脑室腹腔分流术中可调控性与固定压力的分流管的疗效。方法分析2007年8月至2012年2月我院神经外科治疗的脑积水患儿的临床资料。入组患儿根据分流管的不同随机分为研究组(可调控压力组)和对照组(固定压力组)。比较两组患儿的基线资料、手术过程(包括手术时间、术中出血量、手术成功率)、远期(6个月)疗效以及术后并发症。结果本研究共纳入研究对象80例,其中研究组和对照组患儿各40例,两组患儿的手术时间(t=0.178,P=0.78)、术中出血量(t=0.262,P=0.56)、手术成功率(χ2=1.010,P=0.31)均无统计学差异;研究组患儿的治疗疗效显著优于对照组(χ2=9.856,P=0.007);两组患儿治疗并发症发生率并无统计学差异(χ2=1.099,P=0.29)。结论对于小儿脑积水患者,脑室腹腔分流效果显著,且可调控分流管疗效优于固定压力分流管。
Objective To compare pediatric hydrocephalus in children with intra-peritoneal shunt in the controllable and fixed pressure shunt curative effect. Methods The clinical data of children with hydrocephalus treated in our department from August 2007 to February 2012 were analyzed. According to the different distribution of shunt children were divided into study group (adjustable pressure group) and control group (fixed pressure group). Baseline data, surgical procedures (including operation time, intraoperative blood loss, surgical success rate), long-term (6 months) efficacy and postoperative complications were compared between the two groups. RESULTS: A total of 80 subjects were enrolled in this study, including 40 cases in study group and control group. The operation time (t = 0.178, P = 0.78), blood loss (t = 0.262, P = 0.56). There was no significant difference in operative success rate (χ2 = 1.010, P = 0.31). The treatment effect in study group was significantly better than that in control group (χ2 = 9.856, P = 0.007) The incidence was not statistically different (χ2 = 1.099, P = 0.29). Conclusion In children with hydrocephalus, peritoneal shunting effect is significant, and the controllable shunt is superior to the fixed pressure shunt.