脑室腹腔分流术在新型隐球菌脑膜炎中的应用

发布时间：2018-05-02 16:48

本文选题：新型隐球菌脑膜炎 + 脑室腹腔分流　；参考：《国际神经病学神经外科学杂志》2017年03期

【摘要】：目的分析脑室腹腔分流术(Ventriculoperitoneal Shunt,VPS)对伴有明显颅内高压新型隐球菌性脑膜炎的治疗效果。方法回顾性收集2014年1月-2016年11月中山大学附属第三医院22例确诊为新型隐球菌性脑膜炎并伴有明显颅内高压接受VPS的患者,通过分析比较VPS术前后颅内压力、主要临床症状、手术后并发症发生情况,评价VPS对伴有明显颅内高压新型隐球菌性脑膜炎的治疗效果。结果 22例患者术后脑脊液压力明显下降(P0.001);患者主要症状如意识障碍、头痛、视力、听力障碍等明显好转。手术后并发症少,无隐球菌感染扩散现象发生,有少量导管相关并发症,与其他脑积水行VPS者无明显差异。结论 VPS可以有效降低颅内高压,改善临床症状,手术不良反应少。
[Abstract]:Objective to analyze the therapeutic effect of Ventricular surgery on Cryptococcus neoformans meningitis accompanied with obvious intracranial hypertension by ventriculoperitoneal shunt (VPS). Methods from January 2014 to November 2016, 22 patients who were diagnosed as Cryptococcal meningitis and received VPS with obvious intracranial hypertension were retrospectively collected from the third affiliated Hospital of Sun Yat-sen University from January 2014 to November 2016. The main clinical symptoms and intracranial pressure before and after VPS were analyzed and compared. To evaluate the efficacy of VPS in the treatment of cryptococcal meningitis with intracranial hypertension. Results the cerebrospinal fluid pressure decreased significantly in 22 patients after operation, and the main symptoms such as disturbance of consciousness, headache, visual acuity and hearing impairment were obviously improved. There were few complications after operation, no cases of Cryptococcus infection and diffusion, and a few complications associated with catheterization. There was no significant difference between the patients with VPS and other hydrocephalus patients. Conclusion VPS can effectively reduce intracranial hypertension and improve clinical symptoms.
【作者单位】：南华大学附属第二医院神经外科;中山大学附属第三医院神经外科;
【分类号】：R651.1

【相似文献】