Clinical analysis of two kinds of surgical procedures for the treatment of communicating hydrocephalus

<p><strong>Objective</strong> To explore the therapeutic effects and complications of two kinds of surgical procedures for the treatment of communicating hydrocephalus.  <strong>Methods</strong> Ventriculoperitoneal shunt (VPS) and lumboperitoneal shunt (LPS) were re...

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Main Authors: An-xi ZHENG, Xiao-ming HUANG, Xiao-dong YUAN, Wen-hua TANG, Shi-ping CHEN, Wen CHENG, Yu ZHANG
Format: Article
Language:English
Published: Tianjin Huanhu Hospital 2014-10-01
Series:Chinese Journal of Contemporary Neurology and Neurosurgery
Subjects:
Online Access:http://www.cjcnn.org/index.php/cjcnn/article/view/1063
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author An-xi ZHENG
Xiao-ming HUANG
Xiao-dong YUAN
Wen-hua TANG
Shi-ping CHEN
Wen CHENG
Yu ZHANG
author_facet An-xi ZHENG
Xiao-ming HUANG
Xiao-dong YUAN
Wen-hua TANG
Shi-ping CHEN
Wen CHENG
Yu ZHANG
author_sort An-xi ZHENG
collection DOAJ
description <p><strong>Objective</strong> To explore the therapeutic effects and complications of two kinds of surgical procedures for the treatment of communicating hydrocephalus.  <strong>Methods</strong> Ventriculoperitoneal shunt (VPS) and lumboperitoneal shunt (LPS) were respectively adopted to treat 43 cases of communicating hydrocephalus. The therapeutic effects and complications were analyzed, and related literatures were reviewed.  <strong>Results</strong> No significant difference was found between 2 groups in therapeutic effects, such as alleviating headache, improving intelligence and ventricle shrinking (<em>P</em> &gt; 0.05, for all). The incidence of complications of ventriculoperitoneal shunt, mainly including epilepsy [36.36% (8/22) vs 0, <em>P</em> = 0.008], infection [36.36% (8/22) vs 4.76% (1/21), <em>P</em> = 0.030], intracranial hemorrhage [27.27% (6/22) vs 0, <em>P</em> = 0.032], and so on was significantly higher than that of lumboperitoneal shunt.  <strong>Conclusions </strong> For communicating hydrocephalus, the effect of lumboperitoneal shunt is better than that of ventriculoperitoneal shunt, so the latter can be replaced by the former in most cases, except for infection or serious abnormality at operative site.</p><p> </p><p><strong>doi: </strong>10.3969/j.issn.1672-6731.2014.10.015</p>
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spelling doaj.art-b2787d433df84e76a754057fb86fdb4e2022-12-21T21:14:26ZengTianjin Huanhu HospitalChinese Journal of Contemporary Neurology and Neurosurgery1672-67312014-10-0114109069091059Clinical analysis of two kinds of surgical procedures for the treatment of communicating hydrocephalusAn-xi ZHENG0Xiao-ming HUANG1Xiao-dong YUAN2Wen-hua TANG3Shi-ping CHEN4Wen CHENG5Yu ZHANG6Department of Neurosurgery, Affiliated Hospital of Chengdu University, Chengdu 610081, Sichuan, ChinaDepartment of Neurosurgery, Affiliated Hospital of Chengdu University, Chengdu 610081, Sichuan, ChinaDepartment of Neurosurgery, Affiliated Hospital of Chengdu University, Chengdu 610081, Sichuan, ChinaDepartment of Neurosurgery, Affiliated Hospital of Chengdu University, Chengdu 610081, Sichuan, ChinaDepartment of Neurosurgery, Affiliated Hospital of Chengdu University, Chengdu 610081, Sichuan, ChinaDepartment of Neurosurgery, Affiliated Hospital of Chengdu University, Chengdu 610081, Sichuan, ChinaDepartment of Neurosurgery, Affiliated Hospital of Chengdu University, Chengdu 610081, Sichuan, China<p><strong>Objective</strong> To explore the therapeutic effects and complications of two kinds of surgical procedures for the treatment of communicating hydrocephalus.  <strong>Methods</strong> Ventriculoperitoneal shunt (VPS) and lumboperitoneal shunt (LPS) were respectively adopted to treat 43 cases of communicating hydrocephalus. The therapeutic effects and complications were analyzed, and related literatures were reviewed.  <strong>Results</strong> No significant difference was found between 2 groups in therapeutic effects, such as alleviating headache, improving intelligence and ventricle shrinking (<em>P</em> &gt; 0.05, for all). The incidence of complications of ventriculoperitoneal shunt, mainly including epilepsy [36.36% (8/22) vs 0, <em>P</em> = 0.008], infection [36.36% (8/22) vs 4.76% (1/21), <em>P</em> = 0.030], intracranial hemorrhage [27.27% (6/22) vs 0, <em>P</em> = 0.032], and so on was significantly higher than that of lumboperitoneal shunt.  <strong>Conclusions </strong> For communicating hydrocephalus, the effect of lumboperitoneal shunt is better than that of ventriculoperitoneal shunt, so the latter can be replaced by the former in most cases, except for infection or serious abnormality at operative site.</p><p> </p><p><strong>doi: </strong>10.3969/j.issn.1672-6731.2014.10.015</p>http://www.cjcnn.org/index.php/cjcnn/article/view/1063HydrocephalusVentriculoperitoneal shuntPostoperative complications
spellingShingle An-xi ZHENG
Xiao-ming HUANG
Xiao-dong YUAN
Wen-hua TANG
Shi-ping CHEN
Wen CHENG
Yu ZHANG
Clinical analysis of two kinds of surgical procedures for the treatment of communicating hydrocephalus
Chinese Journal of Contemporary Neurology and Neurosurgery
Hydrocephalus
Ventriculoperitoneal shunt
Postoperative complications
title Clinical analysis of two kinds of surgical procedures for the treatment of communicating hydrocephalus
title_full Clinical analysis of two kinds of surgical procedures for the treatment of communicating hydrocephalus
title_fullStr Clinical analysis of two kinds of surgical procedures for the treatment of communicating hydrocephalus
title_full_unstemmed Clinical analysis of two kinds of surgical procedures for the treatment of communicating hydrocephalus
title_short Clinical analysis of two kinds of surgical procedures for the treatment of communicating hydrocephalus
title_sort clinical analysis of two kinds of surgical procedures for the treatment of communicating hydrocephalus
topic Hydrocephalus
Ventriculoperitoneal shunt
Postoperative complications
url http://www.cjcnn.org/index.php/cjcnn/article/view/1063
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