神经内镜下治疗阻塞性脑积水

Treatement internal hydrocephalus with neuroendoscope

目的总结神经内镜下行第三脑室底-脚间池造瘘术治疗梗阻性脑积水的经验,探讨该手术方式的优越性。方法对30例梗阻性脑积水采用经额入路行第三脑室底-脚间池造瘘,手术全过程在神经内镜下进行。结果复查MRI,脑室恢复至正常大小11例,明显缩小19例。结论神经内镜下行第三脑室底-脚间池造瘘术治疗阻塞性脑积水,手术时间短,创伤小,术后恢复快,并发症少,疗效好。

Objective To summerize the surgical experience of interpeduncular cistem-third ventriculostomy surgery with neuroendoscope in treatement internal hydrocephalus,and discuss its advantages. Methods 30 cases were performed with frontal lobe approach interpeduncular cistem-third ventriculostomy surgery .The whole proless of the surgery was finished under the neuroendoscope. Results Judged according to the postoperative MRI .11cases the ventricle was resume ,and 19 cases distinctness cutdown. Conclusions Interpeduncalar cistem-third ventriculostomy surgery with neuroendoscpe treatment internal hydrdephumy,its shorter operation time, minimal invasion ,faster comeback. Lesspostoperative complication.