腹腔镜下脑室-腹腔分流术治疗脑积水的疗效观察

Efficacy evaluation of ventriculoperitoneal shunt with assistance of laparoscope on hydrocephalus

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 回顾性分析2009-06-2012-06我科收治的68例脑积水患者的临床资料,按手术方式分为腹腔镜下脑室-腹腔分流术治疗组（观察组）34例,常规手术组（对照组）34例,对比2组临床疗效和术后并发症情况。结果 2组患者随访12～24个月,观察组和对照组治疗有效率分别为91.2%（31/34）、61.8%（21/34）,差异有统计学意义（P＜0.05）;观察组分流管腹腔端梗阻率和腹部感染率均明显低于对照组,差异均有统计学意义（P＜0.05）。结论 腹腔镜辅助下脑室腹腔分流术治疗脑积水安全、有效,术后分流管阻塞及感染发生率低。

Objective To observe the clinical efficacy of ventriculoperitoneal shunt with assistance of laparoscope on hy- drocephalus. Methods A retrospective analysis of clinical data of 68 patients with hydrocephalus admitted to our hospital from June 2009 to June 2012 were carried out, they were divided into the laparoscopic ventriculo-peritoneal group （observation group, 34 cases） and conventional surgery group （control group, 34 cases）, and the clinical efficacy and postoperative compli- cations of the two groups were compared, and followed-up for 12 to 24 months. Results The efficacy rates of the observation group and the control group were 91.2% （31/34） and 61.8% （21/34） respectively, with statistical significance （P〈0.05）. The obstruction rate of shunt tube and the abdominal infection rate in the observation group were significantly lower than that of the control group, with statistical significance （P〈 0.05）. Conclusion Laparoscopic assisted ventriculoperitoneal shunt is of significant effect on treating hydrocephalus, with small rates of tube obstruction and lower incidence of infection, and is a safe and effective surgical method for hydrocephalus.