摘要
目的探讨对梗阻性脑积水患者实施神经内镜下第三脑室底造瘘术治疗的方法和临床效果。方法选取2015年1月—2016年8月该院收治的梗阻性脑积水患者16例,随机均分成观察组和对照组两组,每组有患者8例,分别对其实施经内镜下第三脑室底造瘘术治疗及传统脑室腹腔分流术治疗,对其近远期疗效,并发症发生率及各项手术指标进行观察比较。结果观察组患者在近远期疗效(96.67%;70.0%)(80.0%;60.0%),并发症发生率(6.67%;20.0%)及各项手术指标的比较结果上均明显优于对照组,差异有统计学意义(P<0.05)。结论神经内镜下第三脑室底造瘘术治疗梗阻性脑积水的疗效显著,且治疗安全性高,可作为临床首选治疗方案加以推广。
Objective To study the clinical method and effect of neuroendoscopic third ventriculostomy in treatment of obstructive hydrocephalus. Methods 16 cases of patients with obstructive hydrocephalus admitted and treated in our hospital from January 2015 to August 2016 were selected and randomly divided into two groups with 8 cases in each, and both groups were respectively treated with neuroendoscopic third ventriculostomy and traditional endoscopic ventriculal peritoneum shunt, and the short-term and long-term curative effects, incidence rate of complications and various operation indexes were observed and compared. Results The short-term and long-term curative effects, incidence rate of complications and various operation indexes in the observation group were obviously better than those in the control group[(96.67%;70.0%)(80.0%;60.0%),(6.67%;20.0%)], and the differences were statistically significant(P〈0.05). Conclusion The curative effect of neuroendoscopic third ventriculostomy in treatment of obstructive hydrocephalus is obvious, and the treatment safety is high, which can be used as the clinical primary treatment plan for promotion.
出处
《中外医疗》
2017年第17期114-116,共3页
China & Foreign Medical Treatment