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报告1992年1月至1995年2月,脑外伤后脑积水60例,行脑室-腹腔(V-P)分流术和腰大池-腹腔(L-P)分流术各30例。L-P分流术后腰椎穿刺测压较术前低,脑室壁所承受的压力下降,术后脑室逐渐变小,脑室额角周围低密度消失,病人症状体征改善。L-P分流术一次手术成功率90%,手术并发症13%,优于V-P分流术的一次手术成功率70%,手术并发症43%。提示脑外伤后交通性脑积水L-P分流术优于目前国内外常用的V-P分流术,如无脊柱及腹部禁忌症,应为首选。
The report from January 1992 to February 1995, 60 cases of hydrocephalus after traumatic brain injury, ventricle - peritoneal (V-P) shunt and lumbar pool - peritoneal (L-P) shunt in 30 cases. L-P shunt after lumbar puncture manometry than preoperative low pressure on the ventricular wall decreased, postoperative ventricular gradually smaller, low-density around the forehead of the ventricle disappeared, the patient’s symptoms and signs improved. The success rate of L-P shunt surgery was 90% and the complications were 13%. The success rate of primary surgery was 70% and the operative complication was 43%. It is suggested that L-P shunt of traffic hydrocephalus after traumatic brain injury is better than V-P shunt commonly used at home and abroad. If there is no contraindication of spine and abdomen, it should be the first choice.