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作者收集并分析了228例非肿瘤性脑积水而行脑积水分流术的儿童病例.其中128例是在1970-1972年作第一次分流术,其他100例是在1960-1970年作第一次分流术,而到1970-1972年作再次矫正术;这些早期的分流,98%是脑室心房分流术(以下简称VA),而在1970年后,60%的第一次手术方法是脑室腹腔引流术(以下简称VP术).平均随访期为7年,只有3%在两年前失去随访观察.VA和VP的手术平均年令无区别.VA组死亡率为19%,VP组死亡率为11%,两组死亡率无重大差别.采用再次矫正分流术的原因有:分流管末端选择和近远侧端阻塞或分离、肺栓塞、活瓣问题、感染、技术错误等.
The authors collected and analyzed 228 children with non-neoplastic hydrocephalus under hydrocephalus shunt, of whom 128 were the first to shunt in 1970-1972 and the other 100 were in 1960-1970 The first shunt, and again to 1970-1972 re-orthodontic surgery; these early shunt, 98% is ventricular atrium shunt (hereinafter referred to as VA), and in 1970, 60% of the first surgical method is Intraventricular peritoneal drainage (hereinafter referred to as VP surgery) .Average follow-up period was 7 years, only 3% were lost to follow-up observation two years ago.VVA and VP were no difference between the average annual surgery.VA group mortality was 19%, VP group The mortality rate was 11% with no significant difference in mortality between the two groups. Re-shunting was due to end-tip shunting or proximal or distal obstruction or separation, pulmonary embolism, valve problems, infection, technical errors, and more.