[1]钱中润,杨洋,杨涛,等.脑室-腹腔分流术后迟发性脑出血相关因素分析[J].临床神经外科杂志,2018,15(06):473-475.[doi:10.3969/j.issn.1672-7770.2018.06.019]
 QIAN Zhong-run,YANG Yang,YANG Tao,et al.A retrospective study on delayed intracerebral hemorrhage secondary to ventriculoperitoneal shunt[J].Journal of Clinical Neurosurgery,2018,15(06):473-475.[doi:10.3969/j.issn.1672-7770.2018.06.019]
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脑室-腹腔分流术后迟发性脑出血相关因素分析()
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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06期
页码:
473-475
栏目:
临床研究
出版日期:
2018-12-15

文章信息/Info

Title:
A retrospective study on delayed intracerebral hemorrhage secondary to ventriculoperitoneal shunt
作者:
钱中润杨洋杨涛曾明慧魏祥品
230001 合肥,中国科学技术大学附属第一医院神经外科
Author(s):
QIAN Zhong-runYANG YangYANG Taoet al.
Department of Neurosurgery,the First Affiliated Hospital of the University of Science and Technology of China,Hefei 230001,China
关键词:
脑室-腹腔分流迟发型脑出血危险因素
Keywords:
ventriculoperitoneal shuntdelayed intracerebral hemorrhagerisk factors
分类号:
R651.1
DOI:
10.3969/j.issn.1672-7770.2018.06.019
文献标志码:
D
摘要:
【摘要】目的研究脑积水患者行脑室-腹腔分流(ventriculoperitoneal,VP)术后出血的潜在危险因素。方法回顾性分析中国科学技术大学附属第一医院2016年1月至2018年6月,因脑积水入院行VP分流术患者的临床资料。根据术后是否发生脑出血分为未出血组和出血组,分别对患者的基本资料、脑积水类型、颅骨缺损等因素进行单因素和多因素分析。结果纳入对象共256例,术后发生脑出血12例,术后出血发生率为4.69%。统计学分析结果显示,VP分流术后发生迟发型脑出血(DICH)与患者的年龄(P=0.027)、颅骨缺损(P=0.045)和阀门调节(1周内)(P=0.011)相关。结论VP分流术后DICH是少见而严重的并发症,患者高龄、颅骨缺损和1周内行阀门调节是其发生的独立危险因素。
Abstract:
Abstract:ObjectiveTo investigate the risk factors associated with the postoperative delayed intracerebral hemorrhage (DICH) after placement of ventriculoperitoneal (VP) shunt.MethodsThe clinical data of patients suffered from hydrocephalus underwent VP shunt between January 2016 and June 2018 at the First Affiliated Hospital of the University of Science and Technology of China were analyzed retrospectively.Base on the occurrence of DICH after VP shunt,the patients were divided in to DICH group and non-DICH group.Univariate and multivariable analyses were made to compare the general information,type of hydrocephalus,skull defect and other factors.Results 12 patients of all the 256 hydrocephalus had delayed intracerebral hemorrhage after VP shunt insertion,showing the rate of DICH was 4.69%.Statistical analysis revealed that older age (P=0.027),craniectomy (P=0.045) and manipulation of valve system within 1 week (P=0.011) was associated with DICH.ConclusionOlder age,craniectomy history and manipulation of valve system within 1 week are independent predictors for the DICH after VP shunt.

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[1]黄学才,叶锦平,王保平.脑室腹腔分流术后颅内感染的保守治疗[J].临床神经外科杂志,2015,(06):461.

更新日期/Last Update: 1900-01-01