摘要
目的评价神经内窥镜对脑积水的治疗作用。方法回顾性分析2005年5月～2010年12月神经内窥镜下行不同治疗方式的50例不同类型脑积水患者的临床资料。10例梗阻性脑积水患者行第三脑室底造瘘术(endoscopicthird ventriculostomy,ETV),18例行透明隔造瘘术加内窥镜下引导脑室-腹腔分流术(ventricular-peritoneal shunts,V-P);22例交通性脑积水患者采用脉络丛绒毛凝固术及内窥镜下引导脑室-腹腔分流术。结果随访3～50个月,患者脑积水症状均有所改善。全部患者无死亡。4例出现短暂高热,经对症处理后症状缓解,2例行三脑室底造瘘术后脑积水无改善,改行V-P分流术。4例分流管堵塞行分流管调整术。结论经神经内窥镜治疗脑积水可获得满意疗效。
Objective To evaluation the effect of the ireatment of hydrocephalus by neuroendoscope. Methods Retro- spective analysis of 50 cases of different types of hydrocephalus patients treatment by neuroendoseope from May 2005 -2010 De- eember. 10 patients with obstructive hydrocephalus were treated with endoscopic third ventriculostomy（ ETV）, Septum pellucidum ventriculostomy ＋ endoscope-assisted ventrictdar-peritoneal（V-P） shunts in 18; 22 cases of communicating hydrocephalus we,＇e treated by neuroendoscopie choroid plexus coagulation ＋ endoscope-assisted ventrieular-peritoneal（V-P） shunts. Results All ca. ses were follow-up 3 ～50 months. Patients＇symptoms were improved,no fatalities. Ephemeral fever in 4. 2 cases of Hydrocephalus in no improvement after endoscopic third ventriculostomy, treated by V-P shunts, diversion pipe plug line divider to adjust in 4. Conclusion The treatment of hydrocephalus by neuroendoseope is effective.
出处
《四川医学》
CAS
2012年第12期2103-2104,共2页
Sichuan Medical Journal
关键词
神经内窥镜
脑积水
脑室造瘘
脑室腹腔分流术
neuroendoscope
hydrocephalus
ventricle fistula
ventricular-peritoneal shunts
