第三脑室底造瘘和脑室腹腔分流治疗脑积水的疗效比较

Comparison of the effects between endoscopic third ventriculostomy and ventriculo-peritoneal shunt operation therapy on hydrocephalus

目的比较治疗脑积水的两种手术方式之疗效及并发症。方法采用神经内镜下第三脑室底造瘘治疗梗阻性脑积水21例,脑室腹腔分流术治疗脑积水40例。结果造瘘组症状缓解20例(95.2%),术后并发症5例(23.7%),均为非感染性发热;分流组症状缓解40例(100%),术后并发症18例(45%)。两组均无死亡。结论两种不同术式治疗脑积水疗效相当,但内镜下第三脑室底造瘘术并发症明显降低。

Objective To compare the effects and complications between two operation methods for hydrocephalus. Methods Sixty-one patients with obstructive hydrocephalus, who underwent either endoscopic third ventriculostomy（ ventriculostomy group, 21 cases） or ventriculo-peritoneal shunt operation（ shunt group, 40 cases）, were revlewed.Results In ventriculostomy group, 20 patients （20/21,95.2%） improved and 5 patients （5/21,23.7%） had the fever（not infectious fever）. In shunt group, 40 patients （40/40, 100%） improved and 18 patients （18/40,45.0%） had the serious complications. Two groups had not all death case.Conclusion The effects of two treatment methods for hydrocephalus are the same, but the complication of endoscopic third ventriculostomy is lower obviously.