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目的分析小儿脑积水行脑室腹腔分流术术后并发症及处理方法。方法对我院近10年实施的282例脑室腹腔分流术后疗效、并发症分析。结果 30例术后产生并发症,总并发症发生率为10.6%。其中分流管堵塞17例(腹腔端堵塞12例,脑室端堵塞4例,分流阀堵塞1例)。术后颅内感染4例,伤口感染3例。腹腔囊肿1例,肠穿孔2例,直肠内移位1例。脑室端脱出1例,硬膜下积液1例。结论小儿脑室腹腔分流术治疗小儿脑积水是安全、有效的,需掌握手术技巧,采取措施预防并发症。
Objective To analyze the postoperative complication and treatment of ventricular peritoneal shunt in children with hydrocephalus. Methods In our hospital nearly 282 years of implementation of 282 cases of intra-ventricle peritoneal shunt after curative effect, complication analysis. Results 30 cases of postoperative complications, the total complication rate was 10.6%. Among them, the shunt was blocked in 17 cases (12 cases of abdominal blockage, 4 cases of ventricular end blockage and 1 blockage of shunt valve). Postoperative intracranial infection in 4 cases, wound infection in 3 cases. 1 cases of abdominal cyst, intestinal perforation in 2 cases, 1 case of rectal shift. Ventricular end prolapse in 1 case, subdural effusion in 1 case. Conclusion Pediatric peritoneal shunt is a safe and effective method for the treatment of pediatric hydrocephalus. It is necessary to master surgical techniques and take measures to prevent complications.