摘要： 采用自制腹腔穿刺置管针对36例脑积水患者施行脑室-腹腔分流术，通过计算穿刺置管时间，评价腹腔穿刺置管成功率和安全性。结果显示，置管成功率达100%、平均穿刺置管时间5 min，术中无一例出现腹腔内出血或脏器损伤。表明腹腔穿刺置管针应用于脑室-腹腔分流术操作简单、安全、微创、手术成功率高、并发症少，易于推广。

关键词: 脑积水, 脑室腹膜分流术, 穿刺术

Abstract: To explore the manipulation and safety of homemade percutaneous abdominal paracentesis needle for abdominal paracentesis in ventriculo-peritoneal shunt. A total of 36 hydrocephalus patients were enrolled in the study. The whole process of abdominal paracentesis and catheter placement was observed, and the time, success rate and safety were evaluated. As results, the success rate of catheter placement was 100%; the average time of paracentesis and catheter placement was 5 min; neither intra-abdominal bleeding nor organ injury was found. The results prompt the homemade percutaneous abdominal paracentesis needle for abdominal paracentesis in ventriculo-peritoneal shunt is safe, minimally invasive, easy to perform with a high success rate and a small surgical scar.

Key words: Hydrocephalus, Ventriculoperitoneal shunt, Punctures