摘要
目的：探讨神经内镜下行三脑室底造瘘术治疗梗阻性脑积水的并发症及预防方法.方法：回顾2003-06～2006-12应用神经内镜行三脑室底造瘘术治疗梗阻性脑积水33例患者的手术并发症,并对原因进行分析.结果：33例患者中29例恢复良好,脑积水症状明显减轻或消失.4例出现症状无改善,行脑室腹腔分流术.并发症主要包括发热、硬膜下积液、脑室出血等.结论：熟悉三脑室底的解剖结构,术者娴熟的内镜操作技术、技巧和有效的预防措施可减少并发症的发生.
Objective： To discuss the methods for the precaution against the complication of endoscopic third ventriculostomy treating obstructive hydrocephalus. Methods：We retrorespectively analyzed the complications of thirty- three cases （from June 2003 to December 2006）, who underwent endoscopic third ventriculostomy treating obstructive hydrocephalus, and investigated their causes. Results： Twenty - nine patients got well after operation, whose signs of hydrocephalus were greatly relieved or disappeared, no obvious changes happened to four patients and then they underwent ventriculoperitoneal shunt . Postoperative complications including： fever, subdural effusion and intraventricular hemorrhage etc. Conclusion： Being familiar with the anatomy of the third ventricle, surgeon＇s skilled technology and effective preventive measures, may contribute to reduce the incidence of complications in endoscopic third ventriculostomy for obstructive hydrocephalus.
出处
《内蒙古民族大学学报（自然科学版）》
2007年第5期573-574,共2页
Journal of Inner Mongolia Minzu University：Natural Sciences
关键词
脑积水
神经内镜
脑室造瘘术
并发症
Hydrocephalus
Endoscope
Ventriculostomy
Complication
