KẾT QUẢ VÀ MỘT SỐ YẾU TỐ LIÊN QUAN SAU PHẪU THUẬT ĐẶT DẪN LƯU NÃO THẤT – Ổ BỤNG ĐIỀU TRỊ GIÃN NÃO THẤT

Abstract

Objective: To evaluate long-term outcomes, complications, and related factors after ventriculoperitoneal (VP) shunt surgery in patients with hydrocephalus.

Methods: A retrospective-prospective descriptive study was conducted on 43 patients with hydrocephalus who underwent VP shunt placement at the Department of Neurosurgery, Military Hospital 103, from January 2021 to December 2025. Long-term outcomes were assessed at 3–6 months postoperatively; favorable outcome was defined as overall clinical improvement compared to the preoperative status.

Results: At 3–6 months follow-up, 72.1% of patients showed clinical improvement and 67.4% demonstrated improvement on CT scan. Shunt function was satisfactory in 79.1% of cases. Late complications occurred in 23.3%. Factors associated with unfavorable outcomes included age over 60 years (p = 0.012), time from onset to surgery exceeding 30 days (p = 0.012), preoperative impaired consciousness (p = 0.032), severe hydrocephalus on CT and Evans index > 0.40 (p = 0.017), periventricular edema (p = 0.045), emergency surgery (p = 0.037), and early postoperative complications (p = 0.003).

Conclusion: VP shunt is an effective treatment for hydrocephalus with a clinical improvement rate of 72.1%. Advanced age, greater clinical and radiological severity, and early postoperative complications are factors associated with unfavorable long-term outcomes.