脑室镜下脑室-腹腔分流术治疗脑积水体会

Surgical Treatment of Hydrocephaly by Ventriculoperitoneal Shunt With Ventriculoscope

目的探讨在脑室镜下行脑室-腹腔分流术治疗脑积水的临床疗效。方法 选择诊断明确的50例脑积水患者并随机分为2组,每组25例,实验组行脑室镜下脑室-腹腔分流术;对照组行常规脑室-腹腔分流术。结果实验组术后感染1例(4%),分流管阻塞1例(4%)。对照组术后感染3例(12%),分流管阻塞4例(16%),脑室损伤1例(4%)。结论脑室镜下行脑室-腹腔分流术治疗脑积水是一项安全可靠的治疗措施,可以在临床上推广应用。

Objective To discuss the clinical curative effect of ventriculoperitoneal shunt under guidance of ventriculoscope.Methods Fifty patients with diagnosed hydrocephaly were selected and divided into two groups randomly as 25 in experimental group and 25 in control group.Ventriculoperitoneal shunt with ventriculoscope was performed for the patients in experimental group and routine ventriculoperitoneal shunt was performed for the patients in control group.Results One case of postoperative infection（4%） and 1 case of shunt obstruction（4%） occurred in experimental group,and 3 cases of postoperative infection（12%）,4 cases of shunt obstruction（16%） and 1 cases of ventriculus cerebri damage（4%） occurred in control group.Conclusion Surgical treatment of hydrocephaly by ventriculoperitoneal shunt with ventriculoscope is safe and reliable in clinical application.