腰池一腹腔分流术治疗特发性颅内压增高症附43例报告.pdfVIP

生堡弛丝经越盘蠢垫!垒生!旦箜堑鲞筮!魍堡照睡』盟型坚!瑾：』些!型垫!壁，坠!堑：盟生! ．临床论著． 腰池一腹腔分流术治疗特发性 颅内压增高症(附43例报告) 侯若武付继第 张天明 赵景武张家亮邱锷 【摘要】 目的 分析43例腰池一腹腔分流术治疗特发性颅内压增高症患者的临床资料及手术 效果，探讨腰池一腹腔分流术治疗特发性颅内压增高症的临床进展。方法术前常规检查视力、视 野、眼底像并行腰穿测压和相关内分泌及影像学检查，根据术前视力情况进行分组同时对比术后随 访资料，评价腰池一腹腔分流术治疗特发性颅内压增高症的临床意义。结果术前视力在0．1≤视 力O．5的患者术后视力恢复率达86．3％，与其他组别对比差异有统计学意义。结论腰池一腹腔 分流术治疗特发性颅内压增高症有明显疗效，尤其是对于0．1≤视力0．5的患者应积极手术治疗。 【关键词】特发性颅内压增高症；腰池一腹腔分流术；视力下降 肋U shuntfor intracranial cases) Ruo-WU，，U丘·硪。 Lumboperitonealidiopathic hypertension(43 ZHANG Jing-wu，zH蛐Gj诡一liang。QlUE．Department Tongren Tian—n讥g，ZHAO ofNeurosurgery．Be谫ng l00730．China Hospital．Beijing Correspondingauthor：zHANGTian-ming of43 intracranial case8 【Abstract】objectiveIntroducingexperiencesidiopathic hypertension in treated shuntfrom2000to2009．Method43aduh wereinchidedour bylamboperitoneal patients study wit}l38femaleand5male．仙0f86 ofvisual ofCFS eyes deteriorating pressure presented acuity．Recording from to400 value300 sella detectedMRIinthese43 250 mmH，0，averagemmH20．EmptyWag by of wereinnormal 43 patients．ResuhsACTH，PRL，GH，髑H，LH，FSHarrangement．Resultspatients were atameantimeof5．5 86 and followed up yearspost—operatively．Ineyes，61improvedsignificantly to0．5 had results other25hadnO from0．1 before after change．Visualacuityranged operationgood withothers．Conclusions shuntiseffectivefor intracranial operationcompared Lumboperiton