Clinical Observation Of Effect On Hydrocephaly With Ventricular-Peritoneal Shunt

PurposeTo discuss the post operation effect on hydrocephaly with Ventricular-Peritoneal Shunt (V-P) and causes as well as prevention of the complications, so as to promote the treatment level of V-P and increase the occurrence of the complications.Method We analyzed and reviewed76cases of hydrocephalic patients treated with V-P from March,2005to March2013in the Second Affiliated Hospital of Zhengzhou University, among which,39cases (51.3%) were male and37(48.7%) were female, aging from2months to65years old, with an average age of (39.4±18.9) years old. The above patients were observed with CT or MRI, and were classified according to imaging diagnosis standards into:41cases (54%) were mild;26cases (34%) were moderate;6cases (8%) were severe and3cases (4%) were extremely severe. During the operation, they were all treated with V-P, among which,63cases (82.8%) were treated with frontal eminence microsurgery, and13cases (17.2%) were treated with occipital horns microsurgery. After the operation, changes on vital signs and consciousness of patients were observed, which were treated with stopping bleeding and neural functional recovery promotion, etc., so as to evaluate the clinical effect on hydrocephaly with V-P and post operation complications.ResultsWhen curative effect was determined as per the symptoms of the patients: among which,44cases (57%) were will good recovery;27cases (36%) were with improvement;5cases (7%) were with no avail, representing a total effective rate of93%. When curative effect was determined as per CT&MRI tests:among which,73cases (96%) were with effect and3cases (4%) were with no effect. After the operation,9cases (11.8%) were with complications, among which,4cases (5.3%) were with shunt system block,2cases (2.6%) were with postoperative infection,1case (1.3%) was with excessive shunt,1(1.3%) with isocon exposure, and1(1.3%) with epilepsy.Conclusion1. V-P is a simple and effective method for treating hydrocephalus. moreover, effects on improvement of neurological function and promotion of nerve functions.2. V-P’s adaptation diseases shall be strictly commanded, so as to decrease the occurrence of operative complications.