Analysis of a Nationwide Survey on Treatment and Outcomes of Congenital Hydrocephalus in Japan
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概要
- 論文の詳細を見る
A nationwide questionnaire survey of congenital hydrocephalus in 2000 investigated the treatment and clinical outcomes for congenital hydrocephalus in Japan to evaluate the factors influencing clinical outcome. Surgical treatment was performed in 341 of 380 patients who survived the early neonatal period. Of 321 patients who had shunt operations, 295 (91.9%) underwent ventriculoperitoneal shunting and nine (2.8%) ventriculoatrial shunting. Programmable valves were used in 83 (33.6%) of the 247 patients at the first shunting and in 97 (39.3%) at the last shunting. The incidence of complications after the first shunting was 55.4% (46 of 83 patients) in the programmable and 61.6% (101 of 164) in the non-programmable valve groups. The types of shunt complication differed significantly between these groups (p < 0.001), as the incidence of shunt infection and malfunction was lower in the programmable valve group. Clinical outcome was generally better with later delivery stage during gestation (p < 0.02). The clinical outcome was statistically significantly better in term patients who underwent early shunt placement than in those who underwent late shunt placement (p < 0.05).
- 社団法人 日本脳神経外科学会の論文
- 2007-10-15
著者
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Yamasaki Mami
Department of Neurosurgery, Osaka National Hospital, National Hospital Organization
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SAKAMOTO Hiroaki
Departments of Pediatric Neurosurgery, Osaka City General Hospital
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MIYAZAKI Takeshi
Department of Neurosurgery, Faculty of Medicine, Shimane University
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Tamakoshi Akiko
Medical Department Of Preventive Medicine:biostatistics And Medical Decision Making Nagoya Universit
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Yamasaki Mami
Department Of Neurosurgery And Clinical Institute Osaka National Hospital National Hospital Organiza
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Moritake Kouzo
Department of Neurosurgery, Shimane Medical University
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NAGAI Hidemasa
Department of Neurosurgery, Shimane University School of Medicine
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NAGASAKO Noriko
Department of Neurosurgery, Shimane University School of Medicine
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MIYAJIMA Masakazu
Department of Neurosurgery, Juntendo University
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Sakamoto Hiroaki
Department Of Cardiovascular Surgery Hitachi General Hospital
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Sakamoto Hiroaki
Department Of Pediatric Neurosurgery Osaka City General Hospital
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Miyazaki Takeshi
Department Of Neurosurgery Shimane University Faculty Of Medicine
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Moritake Kouzo
Department Of Neurosurgery Kyoto University
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Nagai Hidemasa
Department Of Neurosurgery Shimane University School Of Medicine
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Moritake Kouzo
Department Of Neurosurgery Shimane University Faculty Of Medicine
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Moritake Kouzo
Department Of Neurosurgery Shimane University School Of Medicine Izumo Shimane
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Nagai Hidemasa
Department Of Biochemistry Faculty Of Medicine Shimane University
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Nagasako Noriko
Department Of Neurosurgery Shimane University School Of Medicine
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Miyajima Masakazu
Department Of Neurosurgery Juntendo University
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Sakamoto Hiroaki
Department Of Biological Functions And Engineering Kyushu Instiute Of Technology
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Miyazaki Takeshi
Department Of Neurosurgery Faculty Of Medicine Shimane University
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Miyazaki Takeshi
Department Of Materials Science And Technology Nagaoka University Of Technology
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Miyazaki Takeshi
Department of Applied Chemistry, Faculty of Engineering, Osaka University
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