摘要
目的:对腹腔镜辅助下使用脑室-腹腔分流术(V-P分流术)治疗交通性脑积水的临床疗效进行回顾性分析。方法:在为68例交通性脑积水患者进行治疗的过程中,将他们分为两组,为治疗组患者采用腹腔镜辅助下的V-P分流术进行治疗,为对照组患者采用传统的V-P分流术进行治疗。结果:在术后进行头部CT或MRI及腹部X片检查证实,所有病例的分流管均位于侧脑室及腹腔内,两组患者在术后的临床表现无显著性差异,对照组患者在术后发生远期分流管阻塞的几率高于治疗组患者。结论:在腹腔镜辅助下使用V-P分流术治疗交通性脑积水,可减少术后发生分流管阻塞的几率,且手术操作简单、创伤小,值得在临床上推广应用。
bjective To analysis the effect of ventricle-peritoneal shunt（V-P shunt） through anterior horn of lateral ventricle under laparoscope in the treatment of communicating hydrocephalus retrospectively.Methods 68 patients with communicating hydrocephalus patients were divided into two groups.Treatment group were treated by laparoscopic assisted V-P shunt.Patients in the control group using the traditional V-P shunt.Results In all cases,the drainage tube were located in the lateral ventricles and peritoneal cavity by the postoperative head CT or MRI and abdominal X examination,patients in the two groups showed clinical improvement and no significant differences,long-term postoperative drainage tube obstruction occurred rate higher than the treatment group control group.Conclusions Laparoscopic assisted V-P shunt in the treatment of communicating hydrocephalus,reduces postoperative drainage tube obstruction occurring rate,simple operation,less trauma,and can be popularized in clinical application.
出处
《求医问药（下半月刊）》
2012年第10期205-206,共2页
Seek Medical and Ask The Medicine
关键词
腹腔镜
脑室-腹腔分流术
交通性脑积水
Laparoscope
Ventricle-peritoneal（V-P） shunt
Communicating hydrocephalus
