A PROSPECTIVE, RANDOMIZED STUDY OF SHUNT FUNCTION AND INFECTIONS AS A FUNCTION OF SHUNT PLACEMENT
A PROSPECTIVE, RANDOMIZED STUDY OF SHUNT FUNCTION AND INFECTIONS AS A FUNCTION OF SHUNT PLACEMENT
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DOI：
10.1159/000120544
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发表时间：
1991-01-01
影响因子：
0.7
通讯作者：
DAUSER, R
中科院分区：
文献类型：
--
作者：
BIERBRAUER, KS;STORRS, BB;DAUSER, R
在感染率和功能持续时间方面，前置分流管与后置分流管的相对优缺点仍存在很大争议。在27个月期间，所有需要插入新分流管的121例患者前瞻性随机分配至前路或后路置入。平均随访时间为15个月。在研究期间，后置组中70%的分流管与前置组中59%的分流管不需要进一步手术。在分流存活率作为放置功能的生命表分析中，后放置组的分流比前放置组的分流“存活”时间稍长，没有发生故障或感染。因此，作者得出结论，在分流功能障碍或感染方面，前置分流管并不优于后置分流管。
Much controversy still exists about the relative advantages and disadvantages of anteriorly vs. posteriorly placed shunts in terms of infection rate and duration of function. During a 27-month period, all 121 patients seen requiring new shunt insertions were prospectively randomized to anterior or posterior placement. The mean duration of follow-up was 15 months. 70% of the shunts in the posteriorly placed group vs. 59% of the shunts in the anteriorly placed group did not require further surgery during the study period. In a life-table analysis of shunt survival as a function of placement, the shunts in the posteriorly placed group 'survived' slightly longer without malfunctioning or becoming infected than the anteriorly placed shunts. Therefore, the authors conclude that anteriorly placed shunts offer no advantage over posteriorly placed shunts in terms of shunt malfunction or infection.