Therapeutic effect observation of anti-McBurney point approach for enterocoelia shunt blocking after ventriculoperitoneal shunt surgery

doi:10.3877/cma.j.issn.2095-9141.2019.05.011

Abstract

Abstract:

Objective

To access the curative effect of anti-McBurney point approach for enterocoelia shunt blocking after ventriculoperitoneal shunt surgery.

Methods

The clinical data of 11 patients treated by the first Medical Center of PLA General Hospital from May 2014 to May 2018 were analyzed retrospectively. Those cases which had enterocoelia shunt blocking after ventriculoperitoneal shunt surgery were re-operated to place shunt into enterocoelia by anti-McBurney point approach. The patency of the abdominal cavity of the patient’s drainage tube after operation was observed.

Results

All the 11 cases had clinical symptom remission, Reexamination of head CT revealed varying degrees of shrinkage in the ventricular system. Abdominal X-ray showed the drainage tube in the pelvic cavity. No clinical symptoms recurred after 6 months.

Conclusion

The anti-McBurney point approach fixed the shunt tube in the pelvic cavity, avoided the omentum structure envelopment, and did not block the tube again. The anti-McBurney point approach can be used as a surgical approach to adjust the drainage tube.

Key words: Hydrocephalus, Ventriculoperitoneal shunt, Shunt blocking, Anti-McBurney point approach

Lei Liu, Chenjian Ma, Xue Gao, Hao Sun, Xinguang Yu, Xianghui Meng. Therapeutic effect observation of anti-McBurney point approach for enterocoelia shunt blocking after ventriculoperitoneal shunt surgery[J]. Chinese Journal of Neurotraumatic Surgery(Electronic Edition), 2019, 05(05): 304-306.

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References 15

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编号	性别	年龄（岁）	症状	脑积水原因	入路	堵管时间
1	女	69	头痛，恶心，呕吐，走路不稳	斜坡脑膜瘤术后	旁正中	术后2个月
2	女	64	反应低下，偏瘫，小便失禁	颅脑损伤术后	旁正中	术后10个月
3	男	49	头痛，精神差，走路不稳	颅内感染后	旁正中	术后8年
4	男	14	头痛，恶心，呕吐，视力下降	左侧横窦狭窄	旁正中	术后13年
5	女	75	反应差，偏瘫，小便失禁	脑出血后	旁正中	术后2个月
6	男	42	精神差，反应低下，小便失禁	颅脑损伤术后	正中	术后6个月
7	男	63	头痛，痴呆，走路不稳，小便失禁	梗阻性	正中	术后6个月
8	男	80	反应低下，偏瘫，小便失禁	脑出血后	正中	术后3个月
9	男	69	痴呆，走路不稳，小便失禁	正常压力脑积水	正中	术后2个月
10	女	54	头痛，恶心，呕吐	小脑肿瘤术后	正中	术后2个月
11	男	59	头痛，走路不稳，小便失禁	动脉瘤术后	正中	术后1个月

编号	性别	年龄（岁）	症状	脑积水原因	入路	堵管时间
1	女	69	头痛，恶心，呕吐，走路不稳	斜坡脑膜瘤术后	旁正中	术后2个月
2	女	64	反应低下，偏瘫，小便失禁	颅脑损伤术后	旁正中	术后10个月
3	男	49	头痛，精神差，走路不稳	颅内感染后	旁正中	术后8年
4	男	14	头痛，恶心，呕吐，视力下降	左侧横窦狭窄	旁正中	术后13年
5	女	75	反应差，偏瘫，小便失禁	脑出血后	旁正中	术后2个月
6	男	42	精神差，反应低下，小便失禁	颅脑损伤术后	正中	术后6个月
7	男	63	头痛，痴呆，走路不稳，小便失禁	梗阻性	正中	术后6个月
8	男	80	反应低下，偏瘫，小便失禁	脑出血后	正中	术后3个月
9	男	69	痴呆，走路不稳，小便失禁	正常压力脑积水	正中	术后2个月
10	女	54	头痛，恶心，呕吐	小脑肿瘤术后	正中	术后2个月
11	男	59	头痛，走路不稳，小便失禁	动脉瘤术后	正中	术后1个月

编号	性别	年龄（岁）	引流管末端位置	并发症	手术时间(min)	手术费用（万）
1	女	69	盆腔	无	60	2.4
2	女	64	盆腔	无	50	1.1
3	男	49	盆腔	无	30	3.6
4	男	14	盆腔	无	40	1.9
5	女	75	盆腔	无	45	1.9
6	男	42	盆腔	无	55	2.9
7	男	63	盆腔	无	40	1.8
8	男	80	盆腔	无	60	3.4
9	男	69	盆腔	感染	35	3.0
10	女	54	盆腔	无	50	0.9
11	男	59	盆腔	无	35	1.2

编号	性别	年龄（岁）	引流管末端位置	并发症	手术时间(min)	手术费用（万）
1	女	69	盆腔	无	60	2.4
2	女	64	盆腔	无	50	1.1
3	男	49	盆腔	无	30	3.6
4	男	14	盆腔	无	40	1.9
5	女	75	盆腔	无	45	1.9
6	男	42	盆腔	无	55	2.9
7	男	63	盆腔	无	40	1.8
8	男	80	盆腔	无	60	3.4
9	男	69	盆腔	感染	35	3.0
10	女	54	盆腔	无	50	0.9
11	男	59	盆腔	无	35	1.2

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