腹腔镜下脑室-腹腔分流术治疗脑积水的生理学机制角度分析观察结果

Celiac laparoscopic ventricle bypasses surgery for the treatment of hydrocephalus physiology mechanism Angle analysis of observations

目的观察腹腔镜下脑室-腹腔分流术治疗脑积水的临床疗效。方法选择本院收治的48例脑积水患者为研究对象,所有患者均行腹腔镜下脑室-腹腔分流术治疗。观察患者的临床治疗效果、治疗前后Kamofsky评分及双侧脑室额角、颞角宽度变化。结果患者临床治疗总有效率为60.42%;治疗前患者的平均Kamofsky评分为(44.32±12.15),治疗后评分为(73.24±14.23),治疗前后比较,差异具有显著性(P<0.01);同时,治疗后患者平均双侧脑室额角、颞角宽度较治疗前明显缩小,差异具有显著性(P<0.01)。结论腹腔镜下脑室-腹腔分流术治疗脑积水的临床疗效显著,能有效改善患者的生活质量,缩小患者双侧脑室额角、颞角宽度。

Objective To observe the ventricle under laparoscopic abdominal bypass, the clinical curative effect of treatment of hydrocephalus. Methods 48 cases of our hospital patients with hydrocephalus as the research object, and all patients were performed laparoscopic ventricle-for the treatment of peritoneal shunt. The clinical therapeutic effect of patients, before and after treatment respectively Kamofsky score and Angle of bilateral frontal, temporal width changes were observed. Results The patients’ clinical total effective rate was 60.42%;before the treatment, patients'' average Kamofsky score was (44.32±12.15), after treatment, the score was (73.24±14.23). Compared before and after treatment, with signiifcant difference (P<0.01);at the same time, after treatment, the average Angle of bilateral frontal, temporal width was narrowed, the difference is significant (P < 0.01), Compared before and after treatment, with significant difference. Conclusion Laparoscopic ventricle peritoneal shunt surgery treatment of hydrocephalus has signiifcant clinical effect, can effectively improve the patient''s quality of life of patients with narrow angle of bilateral frontal, temporal width.