一个参考中心对心室 - 胆囊分流的经验,作为患儿腹膜衰竭的替代治疗方法
Alick Durão Moreira1, Antônio Bellas2,3, Marcelo Pousa3
1Department of Pediatric Neurosurgery, National Institute of Health for Women, Children and Adolescent Fernandes Figueira/Fiocruz, Rio de Janeiro, Brazil. alickdurao@gmail.com.
概括
腹腔 - 胆囊分流 (VGS) 是患有腹腔分流失败的儿科水脑病患者的可行替代方案. 这项研究表明,VGS在可控并发症的情况下提供了良好的结果.
科学领域:
- 儿科神经外科 儿科神经外科
- 大脑脊髓液的冲刺管理
背景情况:
- 腹腔 - 腹腔周围突变是水头症的标准,但可能会失败.
- 腹膜衰竭需要使用其他CSF转移策略.
研究的目的:
- 评估心室 - 胆囊分流 (VGS) 作为患有腹腔分流失败的儿科患者的替代方案.
- 从参考中心的经验中分析手术技术和结果.
主要方法:
- 对患有腹腔围分流失败的儿科患者进行了回顾性研究 (2018-2023年).
- 患者接受了心室 - 胆囊分流装置的安置.
- 收集了关于患者人口统计,脑水症原因,VGS安置,并发症和随访的数据.
主要成果:
- 18名腹膜衰竭患者中,有10名接受了VGS.
- 在VGS安置时的平均年龄为35.4个月.
- 暂时的并发症包括腹 (n=2) 和分流感染 (n=2);感染通过新的VGS安置成功治疗.
- 平均随访时间为18.8个月,没有进一步的问题.
结论:
- 风 - 胆囊分流是治疗腹膜衰竭病例中水头症的一个可行的选择.
- 在儿童神经外科手术中,VGS表现出有希望的结果和可管理的并发症.
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