内镜第三脑室底造瘘术治疗梗阻性脑积水

The Application of Endoscopic Third Ventriculostomy in the Treatment of Obstructive Hydrocephalus

目的：探讨内镜第三脑室底造瘘术治疗梗阻性脑积水的体会和疗效。方法：回顾分析2014年1月至2015年2月内镜第三脑室底造瘘术治疗的16例梗阻性脑积水。结果：16例梗阻性脑积水中，完成内镜第三脑室底造瘘术15例，中转脑室-腹腔分流术1例，随访4~12个月，症状明显缓解12例（有效率75.0%）、症状无变化2例、症状复发1例、症状加重添加脑室-腹腔分流术1例；复查头颅CT、MRI，脑室缩小7例（43.8%）、无明显变化7例、略变大2例。结论：内镜第三脑室底造瘘治疗梗阻性脑积水微创、有效、并发症少。

Objective： To investigate the experience and effect of endoscopic third ventriculostomy in the treatment of obstructive hydrocephalus. Methods： Retrospective analysis was introduced to 16 cases of obstructive hydrocephalus received endoscopic third ventriculostomy in our hospital from January 2014 to February 2015. Results： All 16 cases of obstructive hydrocephalus accepted endoscopic third ventriculostomy with 15 cases completed the surgery and one case shifted to ventriculo-peritoneal shunt. A 4-12-month follow-up showed symptomatic improvement in 12 cases（75%）, no change in two cases, relapse in one cases and relief by ventriculo-peritoneal shunt in one case;CT and MRI head revealed that ventricle reduced in seven cases（43.7%）, no obvious change in seven cases, slightly expansion in two cases. Conclusion： Endoscopic third ventriculostomy is a minimal invasive approach with obvious efficacy and less complications to obstructive hydrocephalus.