Objective To compare the clinical effect on communicative hydrocephalus between lumboperitoneal shunt and ventriculoperitoneal shunt. Methods From May 2006 to May 2012 in the Second People′s Hospital of Pingxiang,17 patients with communicative hydrocephalus undergoing lumboperitoneal shunt were selected as observation group, while 17 patients with communicative hydrocephalus undergoing ventriculoperitoneal shunt were selected as control group. Clinical effect, incidence of complications and neurological function deficit score before and after treatment were compared between the two groups. Results The disappearance rate of hydrocephalus of observation group was 88. 2%,that of control group was 82. 4%, the difference was not statistically significantly different(χ2 =0. 234,P>0. 05). The incidence of complications of observation group was 11. 8%,was lower than that of control group of 47. 1% (χ2 =5. 100,P <0. 05). No statistically significant differences of neurological function deficit score was found between the two groups before treatment(t =0. 029,P >0. 05), while neurological function deficit score of observation group was lower than that of control group after treatment(t=2. 661,P<0. 05). Conclusion Both of lumboperitoneal shunt and ventriculoperitoneal shunt has good clinical effect on communicative hydrocephalus,while lumboperitoneal shunt can effectively improve the patients′neurological function.%目的：比较腰大池-腹腔分流术与侧脑室-腹腔分流术治疗交通性脑积水的临床效果。方法选取萍乡市第二人民医院2006年5月—2012年5月收治的经腰大池-腹腔分流术治疗的17例交通性脑积水患者为观察组，另选同期经侧脑室-腹腔分流术治疗的17例交通性脑积水患者为对照组。比较两组患者治疗结果、并发症发生率以及治疗前后神经功能缺损评分。结果治疗后观察组有15例（88.2%）、对照组有14例（82.4%）患者脑积水消失，两组患者术后脑积水消失率比较，差异无统计学意义（χ2=0.234，P>0.05）。观察组患者并发症发生率（11.8%）低于对照组（47.1%）（χ2=5.100，P<0.05）。两组患者治疗前神经功能缺损评分比较，差异无统计学意义（ t=0.029， P>0.05）；观察组患者治疗后神经功能缺损评分低于对照组（t=2.661，P<0.05）。结论腰大池-腹腔分流术与侧脑室-腹腔分流术治疗交通性脑积水均具有良好的临床效果，但腰大池-腹腔分流术能显著改善神经功能缺损程度。
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