特发性正常压力脑积水的外科治疗进展

基础医学与临床 ›› 2016, Vol. 36 ›› Issue (8): 1164-1167.

特发性正常压力脑积水的外科治疗进展

马百涛¹,王任直²,魏俊吉³

1. 中国医学科学院北京协和医院
2. 中国医学科学院北京协和医学院北京协和医院神经外科
3. 中国医学科学院北京协和医院神经外科

收稿日期:2016-05-09 修回日期:2016-06-17 出版日期:2016-08-05 发布日期:2016-07-13
通讯作者: 魏俊吉 E-mail:weijj1999@163.com

Recent advance in surgical management of idiopathic normal pressure hydrocephalus

,Ren-zhi WANG,,Jun-ji WEI,

Received:2016-05-09 Revised:2016-06-17 Online:2016-08-05 Published:2016-07-13
Contact: Jun-ji WEI, E-mail:weijj1999@163.com

摘要/Abstract

摘要： 特发性正常颅压脑积水（iNPH）是一组原因不明的，以步态不稳、认知障碍、尿失禁三联征为主要临床表现，而脑脊液腰穿压力正常的进行性发展的临床综合征。合适的分流手术后iNPH患者可有良好的预后。手术方式以脑室腹腔分流术最为常见。早期诊断，早期治疗可明显改善患者的病情。经充分评估后诊断为iNPH的患者尽早进行手术治疗，预后较好。

关键词: 特发性正常颅压脑积水（iNPH）, 外科治疗, 脑室腹腔分流术（VPS）

Abstract: Idiopathic normal pressure hydrocephalus (iNPH) is a syndrome characterized by the clinical triad of gait disturbance, dementia, urinary incontinence, with ventricular dilation and normal cerebrospinal fluid pressure (CSF), and these symptoms could be revered by CSF shunt surgery. However clinical symptoms will gradually deteriorate without surgical management. Ventriculoperitoneal shunt（VPS） is the most common surgical procedure. Prompt diagnosis and treatment can significantly improve the patient's condition. The prognosis is satisfied,if the patients diagnosed as iNPH are treated as early as possible.

Key words: Idiopathic normal pressure hydrocephalus (iNPH), surgical management, Ventriculoperitoneal shunt（VPS）

中图分类号:

R651.1+9

马百涛王任直魏俊吉. 特发性正常压力脑积水的外科治疗进展[J]. 基础医学与临床, 2016, 36(8): 1164-1167.

Ren-zhi WANG, Jun-ji WEI,. Recent advance in surgical management of idiopathic normal pressure hydrocephalus[J]. Basic & Clinical Medicine, 2016, 36(8): 1164-1167.