[1]顾威庭,蔡瑜,成侃,等.多学科诊疗模式治疗特发性正常压力脑积水的临床分析[J].临床神经外科杂志,2018,15(04):305-308.
 GU Wei-ting,CAI Yu,CHENG Kan,et al.Clinical analysis on MDT strategy in diagnosis and treatment of idiopathic normal pressure hydrocephalus[J].Journal of Clinical Neurosurgery,2018,15(04):305-308.
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多学科诊疗模式治疗特发性正常压力脑积水的临床分析()
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《临床神经外科杂志》[ISSN:1672-7770/CN:32-1727/R]

卷:
15
期数:
2018年04期
页码:
305-308
栏目:
临床研究
出版日期:
2018-08-15

文章信息/Info

Title:
Clinical analysis on MDT strategy in diagnosis and treatment of idiopathic normal pressure hydrocephalus
作者:
顾威庭蔡瑜成侃贾丕丰方嵘苏文婷
201800 上海,上海交通大学医学院附属瑞金医院北院神经外科(顾威庭,蔡瑜,成侃,贾丕丰),神经内科(方嵘),放射科(苏文婷)
Author(s):
GU Wei-tingCAI YuCHENG Kanet al.
Department of Neurosurgery,Ruijin Hospital North,Shanghai 201800,China
关键词:
正常压力脑积水多学科诊疗
Keywords:
idiopathic normal pressure hydrocephalusmultidisciplinary team
分类号:
R742.7
文献标志码:
D
摘要:
目的 探讨特发性正常压力脑积水(iNPH)的临床特点,以及多学科诊疗(multidisciplinary team,MDT)模式在iNPH治疗中的作用。方法 回顾性分析2015年1月至2017年12月上海瑞金医院北院收治的35例可能的iNPH患者的临床资料,总结其基本特征及手术治疗效果。结果 iNPH患者的步态改变更具有临床意义。经过MDT模式诊疗后的18例患者被诊断为很可能的iNPH,并接受了分流手术。18例患者中无手术死亡者,术后平均随访13.2个月。术后16例(89%)患者症状改善,其中步态改善16例(89%)、尿失禁改善14例(78%)、智能改善11例(43.7%)。结论 MDT模式能全面分析iNPH患者的各项临床指标,提高诊断正确率,为患者提供合理的个体化综合治疗建议;值得进一步研究完善和推广。
Abstract:
Objective To explore the clinical characteristics of idiopathic normal pressure hydrocephalus (iNPH) and the role of multidisciplinary team (MDT) approach for treatment of iNPH.Methods The clinical data of 35 consecutive patients,admitted in our hospital ,diagnosed with possible iNPH were analyzed retrospectively.The essential characteristics and results of MDT treatment decisions were summarized and outcomes were evaluated.Results The gait impairment was more significant in iNPH.18 patients were diagnosed as probable iNPH and accepted ventricula-peritoneal shunt after MDT.All patients had no death and no infection,except 1 patient with subdural hematoma.There were 16 cases(89%) with improvement during the following up of 13.2 months.Conclusions It needs analysis by synthesis for the diagnosis of iNPH and the selection of surgical cases.Ventricula-peritoneal shunt can improve the clinical symptom and the living quality.MDT modality should be further improved and widely used for the treatment of iNPH.
更新日期/Last Update: 1900-01-01