目的 比较腰大池-腹腔分流术与脑室-腹腔分流术治疗交通性脑积水患者的并发症发生情况.方法 选取2008年1月至2015年1月于浙江省衢州市人民医院行腰大池-腹腔分流术的交通性脑积水患者47例为观察组,另外选取同期行脑室-腹腔分流术的交通性脑积水患者143例为对照组.比较2组近期及远期并发症发生情况.结果 术后随访1～8年,观察组并发症发生率为6.4％(3/47),对照组为26.6％(38/143).观察组并发症发生率明显低于对照组,差异有统计学意义(P＜0.05).结论 腰大池-腹腔分流术治疗交通性脑积水较脑室-腹腔分流术并发症发生率低.%Objective To observe postoperative complications of lumboperitoneal shunt and ventriculoperitoneal shunt treating patients with communicating hydrocephalus.Methods Forty-seven patients with communicating hydrocephalus treated with lumboperitoneal shunts from January 2008 to January 2015 in People's Hospital of Quzhou City were enrolled as observation group.One hundred and forty-three communicating hydrocephalus patients treated with ventriculoperitoneal shunts with same operation period were erolled as control group.Short-and long-term complications were observed.Results Follow up 1-8 years,the incidence of complications in observation group was 6.4％ (3/47),it was 26.6％ (38/143) in control group;the difference between groups was statistically significant(P ＜ O.05).Conclusion Compared to ventriculoperitoneal shunt,lumboperitoneal shunt has a lower complication incidence treating communicating hydrocephalus.
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