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目的探讨脑积水患儿行侧脑室-腹腔分流术后发生感染的影响因素,为临床诊断及治疗提供依据。方法回顾性分析医院2011年1月-2013年4月行侧脑室-腹腔分流术的74例脑积水患儿临床资料,分析患儿手术年龄、病因、术者水平等因素对术后发生感染的影响。结果 74例患儿中3例随访中断、3例因肿瘤复发死亡,其余68例患儿共行脑室腹腔分流术80次,其中分流术后感染8例,感染率为11.76%,分流管穿破空腔脏器合并颅内感染1例。结论分流术后感染多发生于术后早期,手术年龄小是分流术后感染发生的危险因素,不同病因及不同术者分流术后感染的发生率差异无统计学意义。
Objective To investigate the influencing factors of infection after cerebral ventriculoperitoneal shunt in children with hydrocephalus and provide basis for clinical diagnosis and treatment. Methods The clinical data of 74 children with hydrocephalus who underwent lateral ventriculoperitoneal shunt from January 2011 to April 2013 in our hospital were retrospectively analyzed. The incidence of postoperative infection such as age, etiology and level of operation were analyzed Impact. Results Among the 74 cases, 3 cases were followed up and 3 cases died of tumor recurrence. The other 68 cases were treated with intraperitoneal peritoneal shunt 80 times, of which 8 cases were infected by shunt, the infection rate was 11.76% One case of hollow organ combined with intracranial infection. Conclusion The postoperative shunt infection occurred mostly in the early postoperative period. The small operative age was the risk factor for postoperative shunt infection. There was no significant difference in the incidence of infection after shunt with different etiology and operation.