可编程与差压 Ventriculoperitoneal Shunts 对于儿科水脑:来自沙特阿拉伯的20年的单中心经验
Soha A Alomar1, Rothina J Saiedi2, Sultan M Albukhari1
1Division of Neurosurgery, Department of Surgery, King Abdulaziz University Faculty of Medicine, Jeddah, SAU.
Cureus
|September 13, 2023
概括
与差压 (DPV) 相比,可编程变送 (PSV) 在儿科水头中显示的修订率较低. 这项研究强调PSV作为一个潜在的更好的选择,以减少需要心室关节分流的儿童的并发症.
科学领域:
- 儿科神经外科 儿科神经外科
- 医疗器械 医疗器械
- 脑水管管理 脑水管管理
背景情况:
- 腹腔关节 (VPS) 功能障碍是儿科水头症的主要并发症.
- 选择的分流可能会影响VPS故障和修改率.
- 了解门的性能对于优化儿科水头治疗至关重要.
研究的目的:
- 根据使用的分离的类型,比较儿科患者的腹腔皮管分离 (VPS) 的结果.
- 评估差压 (DPV) 与可编程冲 (PSV) 对VPS并发症和修订率的影响.
主要方法:
- 对175名患有先天性水头症的儿童进行了回顾性研究,他们接受了VPS插入或修改.
- 在DPV和PSV组之间比较并发症和修订率.
- 使用卡普兰-梅尔,日志等级测试和考克斯回归的统计分析.
主要成果:
- 在15年的随访期间,VPS的整体修订率约为三分之一.
- 可编程变送 (PSV) 与显著较低的VPS修订率相关 (OR=0.39,P<0.05).
- 与DPV相比,PSV儿童在前五年内经历的修订相关并发症较少.
结论:
- 显著比例的儿科水脑患者需要VPS修订.
- 与分压 (DPV) 相比,可编程变送 (PSV) 在儿科患者群体中显示了较低的修订率.
- 在植入后的最初几年里,PSV可以通过尽量减少分流修订和相关并发症来提供更好的结果.
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