婴幼儿脑积水脑室腹腔分流术后并发脑软化的危险因素分析

发布时间：2018-06-22 03:50

本文选题：脑积水 + 脑室腹腔分流术　；参考：《郑州大学》2016年硕士论文

【摘要】：研究目的分析婴幼儿脑积水患儿行脑室腹腔分流术后并发脑软化的影响因素,并探讨其防治要点。研究对象回顾性分析2012年7月至2014年12月郑州大学第三附属医院神经外科收治189例脑积水患儿的临床资料。平均年龄4.68±0.85月(0-3岁)。记录病人性别、有无早产(年龄因素)、病情的进展速度、脑积水类型、术前脑积水严重程度、术后引流管有无梗阻、引流管种类、有无颅内感染有无颅内感染等因素对脑积水患儿行脑室腹腔分流术后并发脑软化的影响。结果随访1年,发生软化33例。Logistic回归分析表明:患儿脑积水严重程度、术后引流管有无梗阻、引流管种类、有无颅内感染、有无早产(年龄因素)、病情的进展速度是脑积水患儿并发脑软化的独立危险预测因素;而病人性别、脑积水类型与脑积水患儿V-Ps术后并发脑软化无明显关系。结论脑积水病情的进展速度、术前脑积水严重程度、术后引流管有无梗阻、引流管种类、有无颅内感染、有无早产是婴幼儿V-Ps术后患儿并发脑软化的危险因素,针对各型脑积水的特点选择合适的治疗方案可以降低出现脑软化的风险与软化严重程度。
[Abstract]:Objective to analyze the influencing factors of cerebral softening after ventriculoperitoneal shunt in children with hydrocephalus and to explore the prevention and treatment points. The objective of this study was to analyze the clinical data of 189 cases of hydrocephalus in the Department of Neurosurgery of Third Affiliated Hospital of Zhengzhou University from July 2012 to December 2014. The average age was 4.68 + 0.85 months (0-3 years old). The effects of the sex of the patients, the speed of the progress of the disease, the type of the hydrocephalus, the severity of the hydrocephalus, the severity of the hydrocephalus, the obstruction of the drainage tube, the type of drainage tube, and the absence of intracranial infection on the cerebral ventriculoperitoneal concurrence after the ventriculoperitoneal shunt for the children with hydrocephalus. The results were followed up for 1 years. 33 cases of.Logistic regression analysis showed that the severity of hydrocephalus in children, the postoperative drainage tube has no obstruction, the type of drainage tube, there is no intracranial infection, there is no premature delivery (age factor), the speed of the disease is an independent predictor of cerebral softening in children with hydrocephalus, and the sex, hydrocephalus type and hydrocephalus in children with V-Ps after operation and Conclusion the development speed of cerebral hydrocephalus, the severity of hydrocephalus, the postoperative drainage tube obstruction, the type of drainage tube, the intracranial infection, or not premature delivery are the risk factors for the children with cerebral softening after V-Ps operation, and the appropriate treatment scheme can be reduced according to the characteristics of various types of hydrocephalus. The risk of cerebral softening and the severity of softening.
【学位授予单位】：郑州大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R726.5

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