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本文介绍用结扎了的颈静脉近端作脑室静脉分流术以治疗脑积水的方法和疗效分析。术中、颈外静脉或面总静脉均可选用,术前先试压锁骨上区,观察颈外静脉的粗细是否满意,否则可暴露面总静脉。然后在顶后部作7厘米宽皮瓣,在其下的颅骨正中钻孔,切开硬脑膜0.5毫米,以钢丝导脑室引流管进入侧脑室,拔出钢丝后暂时钳夹脑室引流管以免脑脊液漏出。再通过皮瓣基底部经乳突后皮下隧道将导管的静脉端引至颈部切口处。将此管在皮下盘绕两次,使头颈转动不致牵引导管。颈外静脉在其下端瓣膜之上结扎,(如选用面总静脉则在与颈内静脉交界处结扎,)在靠近静脉结扎的上方作一小切
This article describes the use of proximal ligation of the jugular venous ventriculo-venous shunt for the treatment of hydrocephalus and efficacy analysis. Intraoperative, external jugular vein or facial vein can be used, preoperative pressure on the supraclavicular area, observe the thickness of the external jugular vein is satisfactory, otherwise it may expose the total surface of the vein. Then in the top of the back for 7 cm wide flap, under the skull in the middle drilling, incision 0.5 mm dura to wire guide ventricular drainage tube into the lateral ventricle, pull out the wire after temporary ventricular drainage tube to prevent cerebrospinal fluid leakage. Then through the base of the flap through the mastoid subcutaneous tunnel leads the venous end of the catheter incision at the neck. The tube in the subcutaneous coiled twice, so that the head and neck rotation will not lead traction catheter. External jugular vein at the lower end of the valve ligation, (such as the use of facial total vein at the junction with the jugular vein,), near the vein ligation made a small cut