皮肤穿透式心室转移作为儿童脑水症患者患有腹问题的救援方法
Kadir Oktay1, Sinan Sozutok, Umur Anil Pehlivan
1Cukurova University School of Medicine, Department of Neurosurgery, Adana, Türkiye.
Turkish neurosurgery
|April 23, 2024
概括
通过皮肤进行的心室内运转为患有腹部运转并发症的儿科水脑患者提供了安全有效的替代方案. 这种救援方法在大多数患者中成功解决了问题,证明了其在复杂病例中的有效性.
科学领域:
- 神经外科 神经外科
- 儿科手术 儿科手术
- 医疗器械 医疗器械
背景情况:
- 腹腔关节 (VP) 突变是儿科水头症的标准.
- 腹部并发症经常导致VP分流器故障,需要修订.
- 挽救策略对于管理复杂的分流功能障碍至关重要.
研究的目的:
- 评估皮肤通风心室 (VA) 轮作为救援治疗的疗效.
- 为了评估儿科患者患有耐火性腹部分流并发症的VA分流.
主要方法:
- 对9名儿童患者的回顾性分析,这些患者因VP分流器失效而接受了皮肤穿的VA分流.
- 操作以手术内光学和超声波为指导.
- 在2019年1月至2021年9月期间收集的数据.
主要成果:
- 患者在VA分流之前平均有7.5次VP分流修订.
- 常见的VP分流失败包括腹膜粘附 (44.5%),伪囊 (33.3%) 和腹膜炎 (22.2%).
- 在9名患者中,有7名患者经历了VA转移的成功结果;一个患者在26个月后需要心室导管修复.
结论:
- 通过皮肤进行的VA转移是患有腹部并发症的儿科水头症的安全和有效的救援选择.
- 在手术中成像指导提高了手术的安全性和成功.
- 这种技术为患有多次先前手术的患者提供了可行的替代方案.
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