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颅内蛛网膜囊肿-腹腔分流术后分流管依赖二例并文献复习

Wen-hua FANG,Jian-huang HUANG,Wen-zhong MEI,Zhi-xiong LIN,De-zhi KANG

Chinese Journal of Neurosurgery（2013）

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Abstract
目的 探讨颅内蛛网膜囊肿-腹腔分流术后并发分流管依赖的可能机制、影像学特征及治疗方法.方法 分析2例蛛网膜囊肿行囊肿-腹腔分流术后并发分流管依赖的诊治过程,并结合文献进行讨论和总结.结果 2例均表现为分流管功能丧失后继发严重颅高压症状,其中1例行侧脑室-腹腔分流术；另1例先行囊肿-腹腔分流术,1个月后分流管堵塞,改行腰大池-腹腔分流术.经治疗后2例均痊愈出院,预后良好.结论 分流管依赖是继发于分流管功能下降或丧失,临床表现呈持续进展性颅内压增高；影像学上可观察到侧脑室正常或轻度缩小,原囊肿短期内可复现增大；解除分流管梗阻或重新建立脑脊液引流渠道是安全有效的治疗方法.
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Key words
Arachnoid cyst,Cystoperitoneal shunt,Postoperative complication
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