脑室镜辅助下第三脑室造瘘术治疗梗阻性脑积水的临床疗效评价

Evaluate the Clinical Effect of the Treatment of Obstructive Hydrocephalus by Using the Ventricular Endoscope Assisted Third Ventricle Fistula

目的评价脑室镜辅助下第三脑室造瘘术治疗梗阻性脑积水的临床疗效。方法将我院收治的66例梗阻性脑积水患者分为脑室-腹腔分流术治疗组(对照组)和脑室镜辅助下第三脑室造瘘术治疗组(观察组),每组各33例,随访观察临床疗效及并发症情况。结果观察组患者治疗总有效率为97.0%,对照组患者治疗总有效率为93.9%,组间差异未见统计学意义(P>0.05)。观察组患者并发症发生率为12.1%,低于对照组患者的27.3%,组间差异有统计学意义(P<0.05)。结论脑室镜辅助下第三脑室造瘘术治疗梗阻性脑积水与常规脑室-腹腔分流术治疗的疗效相当,但脑室镜辅助下第三脑室造瘘术的并发症更少,安全性较高。

Objective To evaluate the clinical effect of third ventricle fistula in treatment of obstructive hydrocephalus. Methods 66 patients with obstructive hydrocephalus in our hospital were divided into ventriculoperitoneal shunt treatment group（control group） and third ventricle fistula treatment group（observation group）, 33 cases in each group, observed clinical efficact and complications. Results The total effective rate was 97.0% in observation group and 93.9% in control group, there was no significant difference between two groups（P〈0.05）. The rate of complications in observation group was 12.1%, significantly lower than that in control group（27.3%）, the difference was statistically significant（P〈0.05）. Conclusion Ventriculoperitoneal shunt and third ventricle fistula in treatment of obstructive hydrocephalus all have good clinical effect, but third ventricle fistula treatment has fewer complications and higher security.