摘要
目的:探讨内镜在梗阻性脑积水治疗中的临床应用价值。方法:将我院80例梗阻性脑积水患者随机分为治疗组及对照组,对照组患者采用分流术,治疗组患者采用神经内镜下三脑室底造瘘术。结果:治疗组均造瘘成功,无中转分流术。手术时间治疗组明显短于对照组,术后并发症例数也明显少于对照组,差异有统计学意义(P<0.05),术后症状缓解率差异无统计学意义(P>0.05)。两组患者均获随访,时间6～12个月,症状均有锁缓解,复查CT或MRI见脑室均有不同程度缩小。结论:ETV治疗梗阻性脑积水符合当今神经外科微创原则,疗效确切,手术时间短、脑暴露少、对组织损伤小,手术费用降低,并发症少,值得推广。
Objective： To discuss the clinical efficacy of endoscopic treatment of obstructive hydrocephalus. Methods： Eighty cases of obstructive hydrocephalus were randomly divided into treatment group and control group, the patients in control group and treatment group were treated by shunt surgery and endoscopic third ventricuiostomy （ETV）, respectively. Results： The treatment group received third ventriculostomy with good result and no transit shunt, and the operative time of the treatment treatment was significantly shorter than that of the control group＇s. The postoperative complications were significantly less in the treatment group than that in the control group, there was significantly statistical difference （P〈0.05）, and the remission rate of symptoms after operation had no significant difference （P〉0.05）. The two groups were followed up for 6 - 12 months, the symptoms showed some improvement and review of CT or MRI showed varying degrees of intraventricular narrowing. Conclusion： ETV treatment of obstructive hydrocephalus consistent with the current principles of mini-invasive neurosurgery, it was effective, short operation time, and less brain exposed, less tissue injury, less cost of surgery, fewer complications, and worthy of popularization.
出处
《华西医学》
CAS
2009年第5期1067-1068,共2页
West China Medical Journal
关键词
内镜
三脑室底造瘘术
梗阻性脑积水
endoscopy
third ventriculostomy
obstructive hydrocephalus
