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我院自1990年以来施行侧脑室——矢状窦分流治疗脑积水13例,报告如下:1 临床资料 男11例,女5例,年龄4个月～42岁,先天性交通性脑积水8例,梗阻性脑积水3例,炎症性及脑瘤术后脑积水各1例。13例均行CT扫描。10例术前行腰穿测压,7例在230mmHg以上,3例颅压正常。治疗结果:2例无变化,11例有效。如头痛呕吐缓解,视乳头水肿消退,前囟未闭者张力降低,1例正常颅压脑积水术前行走不能,术后明显改善,近期均未出现并发症。
Our hospital since 1990, the implementation of lateral ventricular - saggital shunt in the treatment of 13 cases of hydrocephalus, the report is as follows: 1 clinical data of 11 males and 5 females, aged 4 months to 42 years of congenital traffic brain 8 cases of water, 3 cases of obstructive hydrocephalus, 1 case of inflammatory brain tumor and hydrocephalus. Thirteen patients underwent CT scan. Ten patients underwent preoperative lumbar puncture, 7 cases were above 230mmHg, 3 cases of normal intracranial pressure. Treatment results: 2 cases no change, 11 cases effective. Such as headache vomiting relief, optic disc edema subsided, anterior fontanel tension decreased, 1 case of normal intracranial pressure hydrocephalus before walking can not be improved significantly after surgery, no recent complications.