PDF(Pubmed)
Abstract：
OBJECTIVE: Despite constantly improving developments in ventriculo-peritoneal shunt systems, most patients with hydrocephalus require revision or replacement at some point of time. Therefore, this study aimed to analyse parameters that are associated with shunt dysfunction.
METHODS: In this retrospective study, we included 81 patients aged 0-17 who were treated at our institution. Demographic data, etiology of the hydrocephalus, type of valve implanted, reason for any revision procedures, any complications and survival time of the ventriculo-peritoneal shunts were detected. Statistical analysis was performed using SPSS. The significance level was set at p ≤ 0.05.
RESULTS: Over a mean study period of 18 years, we analyzed 226 valves subjected to 146 revision operations in 81 patients. The etiology of the hydrocephalus (p = 0.874) and the age of the child at the time of VP shunt implantation (p = 0.308) did not have any impact on the shunt survival time. However, the type of the valve significantly changed the survival time of the shunt (p = 0.030). Pressure differential valves presented a longer survival time than gravitational valves.
CONCLUSIONS: The majority of patients in this study needed at least one replacement of the initial shunt system. Pressure differential valves may be beneficial for the survival time of the shunt system.
METHODS: In this retrospective study, we included 81 patients aged 0-17 who were treated at our institution. Demographic data, etiology of the hydrocephalus, type of valve implanted, reason for any revision procedures, any complications and survival time of the ventriculo-peritoneal shunts were detected. Statistical analysis was performed using SPSS. The significance level was set at p ≤ 0.05.
RESULTS: Over a mean study period of 18 years, we analyzed 226 valves subjected to 146 revision operations in 81 patients. The etiology of the hydrocephalus (p = 0.874) and the age of the child at the time of VP shunt implantation (p = 0.308) did not have any impact on the shunt survival time. However, the type of the valve significantly changed the survival time of the shunt (p = 0.030). Pressure differential valves presented a longer survival time than gravitational valves.
CONCLUSIONS: The majority of patients in this study needed at least one replacement of the initial shunt system. Pressure differential valves may be beneficial for the survival time of the shunt system.
摘要：
目的：尽管脑室-腹腔分流系统的不断发展，大多数脑积水患者需要在某个时间点进行翻修或置换.因此,本研究旨在分析与分流功能障碍相关的参数.
方法：在这项回顾性研究中，我们纳入了在我们机构接受治疗的81例0-17岁患者.人口统计数据,脑积水的病因，植入瓣膜的类型，任何修订程序的原因，检测脑室-腹膜分流的任何并发症和生存时间。采用SPSS进行统计分析。显著性水平设定为p≤0.05。
结果：在平均18年的研究期间，我们分析了81例接受146例翻修手术的226个瓣膜.脑积水的病因（p=0.874）和VP分流术植入时的儿童年龄（p=0.308）对分流术的生存时间没有任何影响。然而,瓣膜的类型显著改变了分流的存活时间(p=0.030).压差阀比重力阀具有更长的生存时间。
结论：本研究中的大多数患者需要至少一次替换初始分流系统。压差阀对于分流系统的存活时间可能是有益的。
方法：在这项回顾性研究中，
结果：在平均18年的研究期间，
结论：本研究中的大多数患者需要至少一次替换初始分流系统。
