PDF(Pubmed)
Abstract：
UNASSIGNED: Ventriculoperitoneal shunts (VPSs) are frequently employed in neurosurgery to treat hydrocephalus, with a particular focus on pediatric patients. Although VPSs are commonly utilized, they are not exempt from difficulties, such as shunt extrusion. The main aim of this study is to enhance comprehension regarding the occurrence, causes contributing to, and consequences of VPS extrusion in pediatric patients.
UNASSIGNED: A comprehensive search approach was implemented, including electronic databases, including PubMed, Google Scholar, and Scopus, to locate pertinent articles published between January 1950 and May 2023. The utilization of keywords such as \"ventriculoperitoneal shunt\" and \"extrusion,\" \"ventriculoperitoneal shunt\" and \"migration,\" and \"ventriculoperitoneal shunt\" and \"perforation\" was employed. Data on patient demographics, underlying diseases, origin of extrusion, presenting symptoms, treatment, and follow-up were gathered. Statistical studies were conducted to identify potential risk factors connected with the occurrence of shunt extrusion.
UNASSIGNED: A study analyzed 80 studies on 120 individuals with extruded VPS catheters. The majority of patients (55.8%) had symptoms such as cerebrospinal fluid leakage and irritation. Hydrocephalus was categorized into congenital (40%), obstructive (36.7%), and communicating (11.7%) groups. Catheter extrusion sites varied, with most from the anal or rectal site. Preoperative meningitis or peritonitis was present in 20% of patients. Treatments ranged from shunt removal to endoscopic third ventriculostomy, resulting in a 90% recovery rate, 1.7% mortality, and 5% follow-up loss.
UNASSIGNED: Extrusion of the distal catheter in VPSs is a critical medical situation that necessitates urgent surgical intervention. The presence of an infection raises the likelihood of complications; hence, it is vital to promptly address the issue through the administration of antibiotics and the replacement of the shunt. Timely intervention enhances results.
UNASSIGNED: A comprehensive search approach was implemented, including electronic databases, including PubMed, Google Scholar, and Scopus, to locate pertinent articles published between January 1950 and May 2023. The utilization of keywords such as \"ventriculoperitoneal shunt\" and \"extrusion,\" \"ventriculoperitoneal shunt\" and \"migration,\" and \"ventriculoperitoneal shunt\" and \"perforation\" was employed. Data on patient demographics, underlying diseases, origin of extrusion, presenting symptoms, treatment, and follow-up were gathered. Statistical studies were conducted to identify potential risk factors connected with the occurrence of shunt extrusion.
UNASSIGNED: A study analyzed 80 studies on 120 individuals with extruded VPS catheters. The majority of patients (55.8%) had symptoms such as cerebrospinal fluid leakage and irritation. Hydrocephalus was categorized into congenital (40%), obstructive (36.7%), and communicating (11.7%) groups. Catheter extrusion sites varied, with most from the anal or rectal site. Preoperative meningitis or peritonitis was present in 20% of patients. Treatments ranged from shunt removal to endoscopic third ventriculostomy, resulting in a 90% recovery rate, 1.7% mortality, and 5% follow-up loss.
UNASSIGNED: Extrusion of the distal catheter in VPSs is a critical medical situation that necessitates urgent surgical intervention. The presence of an infection raises the likelihood of complications; hence, it is vital to promptly address the issue through the administration of antibiotics and the replacement of the shunt. Timely intervention enhances results.
摘要：
■脑室-腹膜分流术(VPS)经常用于神经外科治疗脑积水,特别关注儿科患者。虽然VPS通常使用，他们不能免于困难，如分流挤压。本研究的主要目的是提高对发生的理解，原因有助于，以及小儿患者VPS挤压的后果。
■实施了全面的搜索方法，包括电子数据库，包括PubMed,谷歌学者，还有Scopus,查找1950年1月至2023年5月发表的相关文章。关键词如“脑室-腹腔分流术”和“挤压术”的利用，\"\"脑室-腹腔分流术\"和\"迁移,采用“脑室-腹腔分流”和“穿孔”。患者人口统计数据，潜在的疾病，挤压的起源，出现症状，治疗,并收集了后续行动。进行了统计研究，以确定与分流挤出发生有关的潜在危险因素。
■一项研究分析了对120名使用挤压式VPS导管的个体的80项研究。大多数患者(55.8%)有脑脊液漏、刺激等症状。脑积水分为先天性（40％），阻塞性（36.7%），和交流组(11.7%)。导管挤压部位各不相同，大部分来自肛门或直肠部位。20％的患者存在术前脑膜炎或腹膜炎。治疗范围从分流去除到内镜下第三脑室造瘘术，导致90%的回收率，1.7%死亡率,和5%的后续损失。
■VPS中远端导管的挤压是一种需要紧急手术干预的危急医疗情况。感染的存在增加了并发症的可能性；因此，必须通过使用抗生素和更换分流器来迅速解决这一问题。及时干预可提高效果。
■实施了全面的搜索方法，包括电子数据库，包括PubMed,谷歌学者，还有Scopus,查找1950年1月至2023年5月发表的相关文章。关键词如“脑室-腹腔分流术”和“挤压术”的利用，\"\"脑室-腹腔分流术\"和\"迁移,采用“脑室-腹腔分流”和“穿孔”。患者人口统计数据，潜在的疾病，挤压的起源，出现症状，治疗,并收集了后续行动。进行了统计研究，以确定与分流挤出发生有关的潜在危险因素。
■一项研究分析了对120名使用挤压式VPS导管的个体的80项研究。大多数患者(55.8%)有脑脊液漏、刺激等症状。脑积水分为先天性（40％），阻塞性（36.7%），和交流组(11.7%)。导管挤压部位各不相同，大部分来自肛门或直肠部位。20％的患者存在术前脑膜炎或腹膜炎。治疗范围从分流去除到内镜下第三脑室造瘘术，导致90%的回收率，1.7%死亡率,和5%的后续损失。
■VPS中远端导管的挤压是一种需要紧急手术干预的危急医疗情况。感染的存在增加了并发症的可能性；因此，必须通过使用抗生素和更换分流器来迅速解决这一问题。及时干预可提高效果。
