容量控制型脑室-腹腔分流装置的研制
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摘要
目的:研发一种安全的容量控制型脑室-腹腔分流装置,可以安全地缓解脑积水患者的症状,以达到临床治疗的目的。方法:该装置分为头端分流管、中间储液囊及腹腔端分流管3个部分。在分流管中部的囊腔两端采用单向流动阀门,保证按压囊腔时脑脊液单向流向腹腔端,通过按压次数进行脑脊液的容量控制性引流。结果:该装置不仅可减少脑积液,改善脑积水患者的临床症状,而且可以解决过度引流或引流不足等并发症。结论:该装置设计简单、易操作,适用于各种类型的脑积水患者,是一种比较有效、安全的分流装置。
Objective To develop a capacity-controlled ventriculoperitoneal shunt device to relieve the symptoms of hydrocephalus patient. Methods The device was composed of head-end shunt tube, middle reservoir and celiac shunt tube.The ends of the reservoir were equipped with one-way valve to drive cerebrospinal fluid to celiac shunt tube in case of the pressure on the reservoir. The capacity-controlled drainage of cerebrospinal fluid was implemented through the times of the pressure. Results The device drained cerebrospinal fluid to relieve the symptoms of hydrocephalus patient, and the complications due to over- or under- drainage were eliminated. Conclusion The device gains advantages in design and easy operation, and is an effective and safe shunt choice for types of hydrocephalus patients.
Objective To develop a capacity-controlled ventriculoperitoneal shunt device to relieve the symptoms of hydrocephalus patient. Methods The device was composed of head-end shunt tube, middle reservoir and celiac shunt tube.The ends of the reservoir were equipped with one-way valve to drive cerebrospinal fluid to celiac shunt tube in case of the pressure on the reservoir. The capacity-controlled drainage of cerebrospinal fluid was implemented through the times of the pressure. Results The device drained cerebrospinal fluid to relieve the symptoms of hydrocephalus patient, and the complications due to over- or under- drainage were eliminated. Conclusion The device gains advantages in design and easy operation, and is an effective and safe shunt choice for types of hydrocephalus patients.
引文
[1]耿凤阳,朱建新,李丽,等.正常压力脑积水分流手术32例疗效分析[J].中国临床神经外科杂志,2008,13(8):490-491.
[2]刘飞.脑积水分类和治疗现况及进展[J].国际神经病学神经外科学杂志,2014,41(1):50-53.
[3]徐昊,王占祥,陈东汉,等.可调压分流管置入治疗脑积水疗效的系统评价[J].中国循证医学杂志,2013,13(1):78-85.
[4]张宏兵,苏宝艳,李加龙,等.原发性正常压力脑积水5例诊疗分析[J].立体定向和功能性神经外科杂志,2015(5):304-305.
[5]郑彦,徐巳奕,钟春龙,等.脑脊液引流试验对原发性正常压力性脑积水分流手术效果的预测[J].中国微侵袭神经外科杂志,2012,17(1):14-16.
[6]李飞,王增亮,吉文玉,等.不同年龄阶段脑积水行脑室-腹腔分流术后并发症的临床分析[J].临床神经外科杂志,2015,12(6):467-469.
[7]刘玉光,朱树干,张庆林,等.脑室腹腔分流术后并发症及其防治[J].中华外科杂志,1995,33(7):439-440.
[8]吴中华,沈剑虹,周非,等.迟发性外伤后脑积水相关因素的研究[J].南通大学学报(医学版),2013,33(1):66-68.
[9]张强,高峰.脑积水脑室-腹腔分流术后主要并发症的研究进展[J].国际神经病学神经外科学杂志,2007,34(4):374-377.
[10]陈焕林,许海军,戎路华,等.交通性脑积水的脑室-腹腔分流术治疗体会[J].浙江创伤外科,2015(6):1 123.
[2]刘飞.脑积水分类和治疗现况及进展[J].国际神经病学神经外科学杂志,2014,41(1):50-53.
[3]徐昊,王占祥,陈东汉,等.可调压分流管置入治疗脑积水疗效的系统评价[J].中国循证医学杂志,2013,13(1):78-85.
[4]张宏兵,苏宝艳,李加龙,等.原发性正常压力脑积水5例诊疗分析[J].立体定向和功能性神经外科杂志,2015(5):304-305.
[5]郑彦,徐巳奕,钟春龙,等.脑脊液引流试验对原发性正常压力性脑积水分流手术效果的预测[J].中国微侵袭神经外科杂志,2012,17(1):14-16.
[6]李飞,王增亮,吉文玉,等.不同年龄阶段脑积水行脑室-腹腔分流术后并发症的临床分析[J].临床神经外科杂志,2015,12(6):467-469.
[7]刘玉光,朱树干,张庆林,等.脑室腹腔分流术后并发症及其防治[J].中华外科杂志,1995,33(7):439-440.
[8]吴中华,沈剑虹,周非,等.迟发性外伤后脑积水相关因素的研究[J].南通大学学报(医学版),2013,33(1):66-68.
[9]张强,高峰.脑积水脑室-腹腔分流术后主要并发症的研究进展[J].国际神经病学神经外科学杂志,2007,34(4):374-377.
[10]陈焕林,许海军,戎路华,等.交通性脑积水的脑室-腹腔分流术治疗体会[J].浙江创伤外科,2015(6):1 123.