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脑积水临床表现为颅内高压症状和脑室系统的扩大,造成病人长期痛苦,丧失工作能力,晚期有时危及病人生命.自1898年Ferguson首先提出脑积水的外科治疗方法后,至今相继有20余种术式.各种术式均有各自相应的手术指征及优缺点.目前,临床常用者为脑室—腹腔分流术、脑室—右心房分流术和脑室—胸导管分流术.本文拟就这三种术式从手术指征、手术要点、术后并发症几方面予以综述和简评.
Clinical manifestations of hydrocephalus for intracranial hypertension and ventricular system expansion, resulting in long-term patient suffering, loss of ability to work, and sometimes endanger the lives of patients in the end .From 1898 Ferguson first proposed surgical treatment of hydrocephalus, have been 20 More kinds of surgical procedures .All surgical procedures have their own corresponding surgical indications and advantages and disadvantages.At present, clinical ventricular peritoneal-peritoneal shunt, ventricular-right atrium shunt and ventricle-thoracic duct shunt.This article intended These three kinds of surgical procedures from the indications, the main points of surgery, complications and several aspects to be reviewed and comments.