[1]于多,杜威,陈大瑜,等.脑室-腹腔分流术失败的原因及对策分析[J].中国临床神经外科杂志,2022,27(07):551-554.[doi:10.13798/j.issn.1009-153X.2022.07.007]
　YU Duo,DU Wei,CHEN Da-yu,et al.Analysis of causes and countermeasures of ventriculoperitoneal shunt failure[J].,2022,27(07):551-554.[doi:10.13798/j.issn.1009-153X.2022.07.007]
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脑室-腹腔分流术失败的原因及对策分析()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
27
期数:
2022年07期
页码:
551-554
栏目:
论著
出版日期:
2022-07-31

文章信息/Info

Title:
Analysis of causes and countermeasures of ventriculoperitoneal shunt failure
文章编号:
1009-153X(2022)07-0551-04
作者:
于多; 杜威; 陈大瑜; 黄麒霖; 韦可; 雷颉; 姚国杰
430070 武汉，中国人民解放军中部战区总医院神经外科（于多、杜威、陈大瑜、黄麒霖、韦可、雷颉、姚国杰）
Author(s):
YU Duo;  DU Wei;  CHEN Da-yu;  HUANG Qi-lin;  WEI Ke;  LEI Jie;  YAO Guo-jie
Department of Neurosurgery, General Hospital of Central Theater Command, PLA, Wuhan 430070, China
关键词:
脑室-腹腔分流术; 分流失败; 原因分析; 对策
Keywords:
Ventriculoperitoneal shunt;  Shunt obstruction;  Infection;  VPS malfunction;  Causes;  Countermeasures
分类号:
R651.1+1
DOI:
10.13798/j.issn.1009-153X.2022.07.007
文献标志码:
A
摘要:
目的 探讨脑室-腹腔分流术（VPS）失败的原因及对策。方法 回顾性分析2012年7月至2021年4月收治的31例VPS失败的临床资料，分析失败原因和对策。结果 VPS失败最主要的原因为分流管堵塞17例（54.8%），包括脑室端堵塞、阀门堵塞、腹腔端堵塞以及多个部位的堵塞；其次是分流管移位7例（22.6%）、感染3例（9.7%）、分流不足2例（6.5%）、分流管打折1例（3.2%）、原因不明例（3.2%）。31例共行手术45次，其中7例二次手术，2例三次手术，1例四次手术。结论 VPS失败的常见原因有分流管堵塞、移位、感染、断裂或打折等。对堵塞的分流管，根据实际情况行分流管调整或取出术；对分流管局部感染，可以通过换药和抗感染治疗痊愈，若有颅内感染，则需取出分流管，待感染控制后再行分流；若分流管存在移位、打折或断裂的情况，往往需要手术调整或更换。
Abstract:
Objective To analyze the causes and countermeasures of ventriculoperitoneal shunt (VPS) failure. Methods The clinical data of 31 patients who were admitted to our hospital due to VPS failure from July 2012 to April 2021 were analyzed retrospectively. Results The most common cause of VPS failure was shunt obstruction (54.8%,17/31), followed by shunt migration in 7 patients (22.6%), infection in 3 patients (9.7%), insufficient shunt in 2 patients (6.5%), kinking 1 patient (3.2%), and unknown cause in 1 patient (3.2%). A total of 45 operations were performed on these 31 patients, of whom 7 patients received two operations, 2 patients received three operations, and one received four operations. Conclusions The common causes of VPS failure are shunt obstruction, migration, infection, rupture or kinking. For the shunt obstruction, migration, kinking or disconnection, reoperation should be performed to adjust or remove the shunt according to the patients' condition. Anti-infective treatment can achieve good outcomes on the local infection of shunt. If there is intracranial infection, the shunt should be removed, and the shunt should be performed after the infection is controlled.

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备注/Memo

备注/Memo:
（2021-09-15收稿，2022-06-20修回）
通讯作者：姚国杰，E-mail：yaoguojie@sina.com
更新日期/Last Update: 2022-08-31