腰大池腹腔分流.pptxVIP

St. Marianna University School of Medicine Department of Neurosurgery Kotaro Oshio M.D. PhD.;Topics;Why LP shunt was not standard?And Why LP shunt now? 为什么LP分流曾经不是标准而现在广泛使用？;Improvement 改良;History of LP shunt LPLP 分流的历史;Before making guideline of iNPH;Diagnosis Evolution诊断的发展;Complications of LP shunting.LP分流的并发症;Recent report of LP shunt ;Benefits of LP shuntingLP分流的优势;Complications of LP shunting;For avoiding severe complication如何避免严重的并发症;The manner of initial Valve Pressure decision阀门压力的调节方法;Predicted shunt under drainage did not occur even at the OPV setting of 200 mm H2O阀门压力设定为200mmH2O也没有发生分流不足;Obesity makes ;Risk factor for intraabdominal hypertension腹内高血压的风险因素;Quick Refererence Tablefor suitable shunt pressure ;For Avoid unintentional valve pressure change防止阀门设定压力意外改变;Akbar M. Loss of Adjustability of Codman-Medos Hydrocephalus Valves after Exposure to 3.0T MRI. New England. J. Med. 2005; 353 : 1413 -1414. ;Nomura S. Effect of cell phone magnetic fields on adjustable cerebrospinal fluid shunt valves. Surgical Neurology, 63(2005), 467-468. 可以改变不同阀门压力的最小磁通密度;Zuzak T.J. Magnetic toys: forbidden for pediatric patients with certain programmable valves.? Child’s Nervous Syst. 25: 161-164 (2009). ; headphones 14.0 mT earphones (Walkman) 23.0 mT cordless telephone 34.0 mT cellular telephone 17.5 mT toy magnet 67 à 82 mT De Schneider et al. J.Neurosurgery 96:331-334, 2002 ;Indication of LP shunting ;idiopathic Normal Pressure Hydrocephalus (iNPH);SINPHONI (The study of iNPH on neurological improvement);Classification of Normal Pressure Hydrocephalus (NPH);Etiology of iNPH;MRI feature of iNPH;Why LP shunt?; Video seminar The detailed procedure of lumboperitoneal shunt ;Lumbo-peritoneal Catheter腰大池-腹腔导管 ? ? ? ? The Sophysa Lumbo-Peritoneal Catheter Set索菲萨LP分流导管套装;Adjustment for valve pressure [Polaris];A-P view;Design of LP shunt;;Positioning skin incisionLatera