楠格哈尔省医院脑室-腹膜分流术并发症描述性研究2018年3月25日- 2019年3月16日

F. Fazli
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摘要

脑室-腹腔分流术通过改变脑脊液在脑内的流动来治疗脑积水。在大多数情况下,分流由三部分组成,它们相互串联:近端导管、单向阀和远端导管。脑室-腹膜分流术是最常用的神经外科手术之一,无论是择期手术还是急诊手术。因此,本文对脑室-腹膜分流术的适应症、使用类型、治疗方法及并发症进行了研究。在对109例vp发育不良患者进行“定量”研究时,合并病例系列研究,38例出现并发症。分流并发症的诊断最初是根据病史、体格检查和高颅内压来怀疑的。本研究的目的是确定副静脉分流并发症、不同儿童年龄副静脉分流并发症的发生率以及并发症的地理分布。男性20例,占52.6%;年龄2个月~ 2岁30例,占78.3%;合并患者26例,占68.4%。本研究发现腹腔假性囊肿8例(21.1%),皮肤刺激3例(7.9%),发热2例(5.3%),分流器上端及后备感染8例(21.1%),分流器下端感染6例(15.8%),分流器断开2例(5.3%),分流管下端阻塞8例(21.1%),分流器挤出1例(2.6)(真正并发症)。
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A Descriptive Study on Complications of Ventriculoperitoneal Shunt Surgery in Nangarhar Regional Hospital 25/Mar/2018 – 16/Mar/2019
Ventriculoperitoneal shunt treats hydrocephalus by altering CSF flow within the brain. In most of the cases, shunts consist of three parts, which are serially connected to each other: the proximal catheter, one-way valve and distal catheter. Ventriculoperitoneal shunt is one of the most commonly performed neurosurgical procedure, both on the elective and emergency basis. Consequently, in this paper, the indications for shunt, the types used, cure, and complications of ventriculoperitoneal shunts were studied.  During this “Quantitative “, with amalgamating with case series study out of 109 VP-stunted patients, 38 were show up with complication.  The shunt complication diagnosis is initially suspected according to the history and physical examination and high intracranial pressure. The purpose of this study is to determine VP-shunt complication, incidence of VP shunt complication in different age of childhood life and geographic findings of complication. 20 patients which is 52.6% of study is male patient, from 2 months to 2 years were 30 patients which (78.3%) of study, 26 complicated patients which is (68.4%) from Nangarhar province. During this study we found 8 patients (21.1%) with abdominal pseudo cyst, 3 patients (7.9%) with skin irritation, 2 patients with (5.3%) fever, 8 patients (21.1%) with shunt upper end and reserve infection, 6 patients (15.8%) with shunt lower end infection, 2 patients (5.3%) with disconnected shunt, 8 patients (21.1%) shunt tube lower end obstruction and 1 patient (2.6) with VP Shunt extrusion from month (real complication).
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