Clinical efficacy analysis of lumboperitoneal shunt in the treatment of communicating hydrocephalus

doi:10.3877/cma.j.issn.2095-9141.2022.03.008

Abstract

Abstract:

Objective

To analyze the clinical efficacy of lumboperitoneal shunt (LPS) in the treatment of communicating hydrocephalus.

Methods

The clinical data of 32 patients with communicating hydrocephalus who underwent LPS surgery in the Neurotramasurgery Department of the First Hospital of Jilin University from August 2018 to August 2021 were selected. The general conditions before and after operation, postoperative imaging examination and clinical manifestations were observed, and the clinical efficacy of LPS in the treatment of communicating hydrocephalus was analyzed.

Results

The postoperative GCS score and KPS score of 32 patients were higher than the preoperative scores, and Evan's index was lower than the preoperative scores, and the difference was statistically significant (P<0.05). The prognosis of Salmon was improved in 23 patients (71.88%), and there was no change or deterioration of symptoms in 9 patients (28.12%).

Conclusion

LPS is an effective surgery as a treatment of communicating hydrocephalus without occlusive diseases in the spinal canal.

Key words: Lumboperitoneal shunt, Communicating hydrocephalus, Treatment effect

Qiang Wei, Ying Qin, Guangming Wang, Lixiang Zhou, Shuanglin Fu, Yongxin Luan. Clinical efficacy analysis of lumboperitoneal shunt in the treatment of communicating hydrocephalus[J]. Chinese Journal of Neurotraumatic Surgery(Electronic Edition), 2022, 08(03): 173-177.

/ / Recommend

Add to citation manager EndNote|Ris|BibTeX

URL: https://zhsjcswkdzzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.2095-9141.2022.03.008

https://zhsjcswkdzzz.cma-cmc.com.cn/EN/Y2022/V08/I03/173

Figures/Tables 3

References 21

[1]	Bondurant CP, Jimenez DF. Epidemiology of cerebrospinal fluid shunting[J]. Pediatr Neurosurg, 1995, 23(5): 254-258; discussion 259.
[2]	朱国刚,仇晨,张建辉,等. LP与VP治疗颅脑创伤后脑积水患者的临床疗效比较[J].医学临床研究, 2016, 33(8): 1622-1624.
[3]	陈登奎,庄进学,薛峰,等.脑积水脑室-腹腔分流术后并发症与处理[J].中国微侵袭神经外科杂志, 2013, 18(12): 558-559.
[4]	冉德森,冉旸.脑室-腹腔分流术并发症及其防治[J].中国医药科学, 2017, 7(6): 148-150.
[5]	Bayar MA, Tekiner A, Celik H, et al. Efficacy of lumboperitoneal shunting in patients with normal pressure hydrocephalus[J]. Turk Neurosurg, 2018, 28(1): 62-66.
[6]	Sun T, Yuan Y, Zhang Q, et al. Establishing a preoperative evaluation system for lumboperitoneal shunt: approach to attenuate the risk of shunt failure[J]. World Neurosurg, 2018, 117: e308-e315.
[7]	Bret P, Hor F, Huppert J, et al. Treatment of cerebrospinal fluid rhinorrhea by percutaneous lumboperitoneal shunting: review of 15 cases[J]. Neurosurgery, 1985, 16(1): 44-47.
[8]	Zhang XH, Wang XG, Piao YZ, et al. Lumboperitoneal shunt for the treatment of leptomeningeal metastasis[J]. Med Hypotheses, 2015, 84(5): 506-508.
[9]	毛元潮,周冀英.脑脊液循环动力学原理及临床表现[J].重庆医学, 2009, 38(7): 859-861.
[10]	刘佰运,郭尔安.脑室-腹腔分流术的"三步消毒法"介绍[J].中华神经创伤外科电子杂志, 2021, 7(2): 65-67.
[11]	Kumar R, Younus SM, Haseeb A, et al. Frequency of infection associated with ventriculo-peritoneal shunt placement[J]. J Pak Med Assoc, 2016, 66(7): 815-818.
[12]	Woo PY, Wong HT, Pu JK, et al. Primary ventriculoperitoneal shunting outcomes: a multicentre clinical audit for shunt infection and its risk factors[J]. Hong Kong Med J, 2016, 22(5): 410-419.
[13]	Reddy GK, Bollam P, Caldito G. Ventriculoperitoneal shunt surgery and the risk of shunt infection in patients with hydrocephalus: long-term single institution experience[J]. World Neurosurg, 2012, 78(1-2): 155-163.
[14]	卢盛华,赵志刚,王学蛟,等. "三步消毒法"降低脑室-腹腔分流术后颅内感染率初步效果观察[J].中华神经创伤外科电子杂志, 2021, 7(2): 107-111.
[15]	刘磊,马陈建,高雪,等.反麦氏点入路对脑室-腹腔分流术后腹腔端堵管调管术疗效观察[J].中华神经创伤外科电子杂志, 2019, 5(5): 304-306.
[16]	孙书光. V-P分流术和L-P分流术在正常颅内压脑积水患者中的临床效果差异[J].中国实用医药, 2016, 11(30): 98-99.
[17]	郑安锡,黄晓明,袁晓东,等.两种不同术式治疗交通性脑积水临床分析[J].中国现代神经疾病杂志, 2014, 14(10): 906-909.
[18]	饶文旭.脑室腹腔分流术和腰大池腹腔分流术治疗正常颅内压脑积水患者的效果比较[J].中国民康医学, 2018, 30(7): 38-39.
[19]	赵永田.腰大池腹腔分流与脑室-腹腔分流术治疗正压性脑积水比较[J].中国卫生标准管理, 2019, 10(9): 73-75.
[20]	Eymann R, Chehab S, Strowitzki M, et al. Clinical and economic consequences of antibiotic-impregnated cerebrospinal fluid shunt catheters[J]. J Neurosurg Pediatr, 2008, 1(6): 444-450.
[21]	宋志军,陈晓雷,唐运林,等.脑室镜与腹腔镜在交通性脑积水脑室-腹腔分流中的联合应用[J].中华外科杂志, 2015, 53(10): 772-775.

时间	GCS评分[分，M(IQR)]	Evan’s指数(±s)	KPS评分[分，M(IQR)]
术前	9.00(4.75)	0.43±0.09	34.38(20.00)
术后	11.00(5.00)	0.31±0.08	47.81(45.00)
t/Z值	-2.825	7.983	-3.652
P值	0.005	<0.001	<0.001

时间	GCS评分[分，M(IQR)]	Evan’s指数(±s)	KPS评分[分，M(IQR)]
术前	9.00(4.75)	0.43±0.09	34.38(20.00)
术后	11.00(5.00)	0.31±0.08	47.81(45.00)
t/Z值	-2.825	7.983	-3.652
P值	0.005	<0.001	<0.001

Please choose a citation manager

Content to export