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目的总结75例不同病因引起脑积水的3种分流方法,以评价其临床疗效。方法分析75例脑积水形成的病因手术方法、手术结果、术后并发症等。结果除颅内肿瘤(5例)及术后癫痫致颅内出血(2例)共死亡7例外,手术疗效满意。但术后并发症以脑室心房分流术及脑室腹腔分流术后分流管堵塞的发生率较高。结论根据不同手术指征,选择不同分流方法,改进分流管,可减少手术损伤及术后分流管堵塞引流不畅等并发症。
Objective To summarize 75 cases of hydrocephalus caused by different causes of three shunt methods to evaluate the clinical efficacy. Methods 75 cases of hydrocephalus formed by the cause of surgery, surgical results, postoperative complications. Results In addition to intracranial tumors (5 cases) and postoperative epilepsy induced intracranial hemorrhage (2 cases) died of 7 cases, the effect of surgery was satisfactory. However, postoperative complications of ventricular atrium shunt and peritoneal shunt after shunt higher incidence of shunt. Conclusion According to different surgical indications, choosing different shunt methods to improve the shunt can reduce the complications such as surgical injury and poor postoperative shunt blockage.