| 引用本文: | 陈姬如,杜昊,李鑫.脑室-腹腔长程外引流技术在颅内感染并发急性脑积水的临床应用[J].中国临床新医学,,():-. |
| chen jiru,Du hao.脑室-腹腔长程外引流技术在颅内感染并发急性脑积水的临床应用[J].中国临床新医学,,():-. |
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| 摘要: |
| 目的：观察脑室-腹腔长程外引流技术在治疗颅内感染并发急性脑积水的临床效果。
方法：回顾性分析2022.01至2025.06湖南省第二人民医院（湖南省脑科医院）神经外科收治的颅内感染并发急性脑积水患者80例，其中采用一侧侧脑室额角置管外引流治疗（对照组）48例，采用脑室-腹腔长程外引流治疗（试验组）32例。比较两组的引流相关并发症发生情况、引流时间、手术次数及3个月预后情况。
结果：试验组的二次颅内感染、脑脊液切口漏、导管移位发生率明显低于对照组（分别为9.4% VS 33.3%、3.1% VS 25.0%、0% VS 27.1%，P＜0.05），但两组患者的堵管率及穿刺道出血率比较差异无统计学意义（P＞0.05）。试验组的单次手术引流时间显著大于对照组（49.38±4.55d VS 14.17±1.88d，P＜0.05），总手术次数明显少于对照组（1.09±0.30 VS 2.83±0.69，P＜0.05）。术后3个月，试验组患者的脑积水改善率高于对照组（78.1% VS 64.6%），mRS评分低于对照组（3.84±0.82 VS 4.16±0.75），但差异均无统计学意义（P＞0.05）。
结论：脑室-腹腔长程外引流技术不仅显著延长引流时间，减少手术次数，还明显降低了二次颅内感染、脑脊液切口漏及导管移位的发生率，是一种创伤更小、经济且有效的治疗手段，值得临床推广。 |
| 关键词: 脑室外引流术 皮下隧道 长程外引流 颅内感染 脑积水 预后 |
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| 基金项目:自然科学基金-高校联合,基金编号:HS1946537700 |
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| Clinical Application of Ventricular-peritoneal Long-term External Drainage in Intracranial Infection Complicated with Acute Hydrocephalus |
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chen jiru,Du hao
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Hunan University of Traditional Chinese Medicine Clinical Medical College
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| Abstract: |
| Objective:To observe the clinical effect of ventricular-peritoneal long-term external drainage in the treatment of intracranial infection complicated with acute hydrocephalus.
Methods: A retrospective analysis of 80 patients with intracranial infection complicated with acute hydrocephalus admitted to the neurosurgery department of the Second People's Hospital of Hunan Province (Brain Hospital of Hunan Province) from January 2022 to June 2025 was conducted. The control group (n=48) was treated with external ventricular drainage via catheterization of the frontal horn of the lateral ventricle, while the test group (n=32) underwent ventricular-peritoneal long-term external drainage. We compared the two groups regarding the incidence of drainage-related complications, drainage time, number of surgical procedures, and 3-month prognosis.
Results:The incidence rates of secondary intracranial infection, cerebrospinal fluid incision leakage, and catheter migration in the test group were significantly lower than those in the control group (9.4% VS 33.3%, 3.1% VS 25.0%, and 0% VS 27.1%, respectively, P<0.05), but there was no statistically significant difference in the catheter occlusion rate and puncture bleeding rate between the two groups (P>0.05). The single surgical drainage time in the test group was significantly longer than that in the control group (49.38±4.55d VS 14.17±1.88d, P<0.05), and the total number of surgeries was significantly less than that in the control group (1.09±0.30 VS 2.83±0.69, P<0.05). Three months after surgery, the improvement rate of hydrocephalus in the test group was higher than that in the control group (78.1% VS 64.6%), and the mRS score was lower than that in the control group (3.84±0.82 VS 4.16±0.75), but there were no statistical significance (P>0.05).
Discussion: Ventricular-peritoneal long-term external drainage technology not only significantly lengthens drainage time and reduces the number of surgeries, but also significantly reduces the incidence of secondary intracranial infections, cerebrospinal fluid incision leakage and catheter migration. It is a less invasive, economical and effective treatment method worthy of clinical promotion. |
| Key words: External ventricular drainage Subcutaneous tunnel Long-term external drainage Intracranial infection Hydrocephalus Prognosis |
