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題 名 | Minimally Invasive Procedure for Ventriculoatrial Shunt-Combining a Percutaneous Approach with Real-time Transesophageal Echocardiogram Monitoring: Report of Six Cases=微創腦室右心房引流手術-結合經皮手術與應用即時經食道心臟超音波監測--六例報告 |
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作 者 | 莊活力; 張承能; 徐志清; | 書刊名 | 長庚醫學 |
卷 期 | 25:1 2002.01[民91.01] |
頁 次 | 頁62-66 |
分類號 | 416.291 |
關鍵詞 | 水腦症; 經皮手術; 經食道心臟超音波; 腦室右心房引流術; Hydrocephalus; Percutaneous approach; Tranesophageal echocardiogram; Ventriculoatrial shunt; |
語 文 | 英文(English) |
中文摘要 | 腦室右心房引流手術存在兩大缺點:第一,需要頸部較長的傷口且要花相當時間尋找總面靜脈,第二,手術中不容易將右心房導管放至適當位置。從1995年七月到1996年十月,我們結合以導管經皮穿刺內頸靜脈並且手術中應用經食道心臟超音波,監視右心房內腦室引流管的末端這兩個技術,完成六例腦室右心房引流手術。除了一位病人同時上腔靜脈有Port-A導管因而阻礙偵測,其他五位右心房內導管的位置都很理想,同時導管的功能也相當正常。平均手術時間為2小時24分鐘和本院以往所採取傳統的手術方法比較,節省許多時間而且併發症減少許多。結合這二種技術,腦室右心房引流手術可以執行的更微創更精確更迅速且安全。 |
英文摘要 | To make the ventriculo atrial (VA) shunt procedure less invasive and avoid atrial catheter malpositioning, we combined a percutaneous approach with transesophageal echocardiogram (TEE) to monitor the atrial catheter tip. From July 1995 to October 1996, we performed 6 VA shunt procedures by combining these 2 techniques. Except for one patient who had a concomitant Port-A catheter, which obscured the detection of TEE in the procedure, all other artial catheters achieved ideal positioning and good function. The mean operation time was shorter, and the complications were fewer than those using the conventional procedure in our hospital. In addition to this particular aspect, by combining these 2 techniques, the VA shunt procedure can be performed much less invasively, but more accurately, quickly, and safely. |
本系統中英文摘要資訊取自各篇刊載內容。