The effect of shunt removal on the quality of life in patients with congenital hydrocephalus
The effect of shunt removal on the quality of life in patients with congenital hydrocephalus
复制标题
分流管切除对先天性脑积水患者生活质量的影响
DOI：
10.1007/s00381-023-05835-1
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发表时间：
2023
期刊：
影响因子：
--
通讯作者：
Asai A.
中科院分区：
文献类型：
--
作者：
Komori Y;Nonaka M;Iwamura H;Ueno K;Miyata M;Isozaki H;Li Y;Takeda J;Hashiba T;Asai A.
研究背景虽然有报道调查了接受脑室腹腔分流术或内窥镜第三脑室造口术（ETV）治疗先天性脑积水患者的生活质量，但还没有关于脑室腹腔分流术（VPS）移除后患者生活质量的研究。在本研究中，对小儿和先天性脑积水患者进行了一项调查，以比较剩余VPS患者的生活质量与分流器移除的患者的生活质量。MethodsBetween 2020年2月至2021年11月，对8岁及以上因诊断为先天性脑积水而接受VPS的患者进行了门诊调查。使用脑积水结局问卷（HOQ）评估本研究的生活质量。HOQ评分（总体健康评分，身体健康评分，认知健康评分和社会情绪健康评分）在三组之间进行比较：VPS保留组、VPS切除+内镜下第三脑室造瘘术（ETV）组和VPS切除+ETV组。结果因脑积水接受VPS治疗的患者总数为71例，其中VPS保留组47例，ETV组14例，ETV组10例。VPS保留组的HOQ总体健康评分为0.68，分流移除伴ETV组为0.74，分流移除不伴ETV组为0.74。有VPS剩余组和VPS删除或没有ETV组（p= 0.3255，0.4178，分别）之间没有显着差异。
BackgroundAlthough there have been reports investigating the quality of life of patients who underwent ventriculoperitoneal shunting or endoscopic third ventriculostomy (ETV) for congenital hydrocephalus, there have been no studies of the quality of life of patients after ventriculoperitoneal shunt (VPS) removal. In the present study, a survey of pediatric and congenital hydrocephalus patients was conducted to compare the quality of life of patients with a remaining VPS with that of patients who had the shunt removed.MethodsBetween February 2020 and November 2021, an outpatient survey was administered to patients 8 years of age and older who had undergone VPS due to a diagnosis of congenital hydrocephalus. The Hydrocephalus Outcome Questionnaire (HOQ) was used to assess the quality of life for this study. The HOQ scores (overall health score, physical health score, cognitive health score, and social-emotional health score) were compared among three groups: a VPS-remaining group, VPS-removed with endoscopic third ventriculostomy (ETV) group, and VPS-removed without ETV group.ResultsThe total number of patients who underwent VPS for hydrocephalus was 71, with 47 in the VPS-remaining group, 14 in the shunt-removed with ETV group, and 10 in the shunt-removed without ETV group. The HOQ overall health score was 0.68 for the VPS-remaining group, 0.74 for the shunt-removed with ETV group, and 0.74 for the shunt-removed without ETV. There were no significant differences between the VPS-remaining group and the VPS-removed with or without ETV groups (p= 0.3255, 0.4178, respectively).ConclusionThere was no significant difference in the quality of life between patients with a remaining VPS and those who had their VPS removed with or without ETV.
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儿科神经外科与健康相关的生活质量结果和证据水平。
DOI：
--
发表时间：
2016
期刊：
Journal of Neurosurgery: Pediatrics
影响因子：
--
作者：
Daniel Hansen;A. Vedantam;V. Briceño;Sandi K. Lam;T. Luerssen;A. Jea
通讯作者：
A. Jea
影响因子：
0.5
作者：
Garg S;Kulkarni S;Deopujari CE;Biyani N
通讯作者：
Biyani N
影响因子：
1.9
作者：
Kulkarni, Abhaya V.;Shams, Iffat;McNeely, P. Daniel
通讯作者：
McNeely, P. Daniel
内镜下第三脑室造口术治疗脑积水儿童的生活质量。
DOI：
10.3171/2020.8.peds20384
发表时间：
2021
期刊：
Journal of Neurosurgery: Pediatrics
影响因子：
--
作者：
Á. Ros;Sara Iglesias;B. Ros;F. Rius;A. Delgado;M. Arráez
通讯作者：
M. Arráez
脑积水儿童脑脊液分流术的去除
影响因子：
2.4
作者：
A. Iannelli;G. Rea;C. Di Rocco
通讯作者：
C. Di Rocco