干旱区生态环境知识资源中心(Arid): 腹腔镜辅助下脑室腹腔分流术的临床应用

Arid

	腹腔镜辅助下脑室腹腔分流术的临床应用
其他题名	Clinical Application of Ventriculoperitoneal Shunt Assisted by Laparoscope
	姜曙 1; 毛伯镛 1; 周总光 2; 杜景平 2; 舒晔 2; 程永忠 1
来源期刊	四川大学学报. 医学版
ISSN	1672-173X
出版年	2004
卷号	35 期号:1 页码:123-125
中文摘要	目的比较腹腔镜辅助下脑室腹腔分流术(VPS)和常规剖腹VPS的临床疗效,探讨腹腔镜辅助下VPS的临床应用经验.方法回顾性总结分析26例腹腔镜辅助下VPS和234例常规剖腹VP分流术的临床资料,分析比较两种手术方式的手术效果及并发症发生率.结果常规剖腹VPS组234例中6例出现腹腔端梗阻、移位,5例出现术后感染,2例儿童患者出现分流管腹腔端穿破直肠脱出肛门.腹腔镜辅助下VPS组26例患者术后均恢复良好,症状均有不同程度的缓解,其中13例采用右肝膈间隙分流术,13例采用盆腔分流术,除1例发生术后感染外,无腹腔端梗阻、移位或穿破腹腔脏器发生者,且无与腹腔镜手术相关的并发症发生.结论腹腔镜辅助下脑室腹腔分流术安全可靠,具有定位准、创伤小、术后并发症少等优点,有良好的临床应用前景.
英文摘要	Objective To compare the clinical effectiveness of ventriculoperitoneal shunt (VPS) assisted by laparoscope versus the clinical effectiveness of VPS via traditional laparotomy in treating hydrocephalus. Methods The clinical data on 26 cases of VPS with laparoscope assistance and on 234 cases of VPS via traditional laparotomy were summerized and analyzed retrospectively. The operation efficacy and the complication rate were compared between the two groups. Results In the traditional laparotomy group, there were 6 oases of peritoneal catheter obstruction or displacement, 5 cases of postoperative infection, and 2 childhood cases where the peritoneal catheter made a way into the rectum and through the anus. But in the laparoscope group, there was only one case of postoperative infection. Postoperatively the laparoscope group was better than the traditional laparotomy group in respect to the postoperative outcome, complication rate and the clinical improvement. Thirteen cases were treated by the VPS using right liver-diaphragm interspace drainage and another 13 cases were treated by the VPS using pelvis cavity drainage in the laparoscope group, respectively. Conclusion The technique of VPS assisted by laparoscopeis safe, reliable, and has the advantages of accurate positioning, minimal injury and less postoperative complications; it is worthy of clinical application and popularization. Positioning the peritoneal catheter to the liver-diaphragm interspace can avoid the complications caused by perforation of the cavity organs.
中文关键词	脑积水 ; 脑室腹腔分流术 ; 腹腔镜 ; 临床应用 ; 并发症
英文关键词	Hydrocephalus Ventriculoperitoneal shunt Laparoscope Clinical application Complication
语种	中文
国家	中国
收录类别	CSCD
WOS类目	MEDICINE GENERAL INTERNAL
WOS研究方向	General & Internal Medicine
CSCD记录号	CSCD:1509955
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/205531
作者单位	1.四川大学华西医院神经外科, 成都, 四川 610041, 中国; 2.四川大学华西医院普外科
推荐引用方式 GB/T 7714	姜曙,毛伯镛,周总光,等. 腹腔镜辅助下脑室腹腔分流术的临床应用[J],2004,35(1):123-125.
APA	姜曙,毛伯镛,周总光,杜景平,舒晔,&程永忠.(2004).腹腔镜辅助下脑室腹腔分流术的临床应用.四川大学学报. 医学版,35(1),123-125.
MLA	姜曙,et al."腹腔镜辅助下脑室腹腔分流术的临床应用".四川大学学报. 医学版 35.1(2004):123-125.