研究腹腔镜辅助下脑室-腹腔分流术治疗小儿脑积水的效果

Research effect of laparoscopic assisted ventriculo-peritoneal shunt for the treatment of children with hydrocephalus

目的探析腹腔镜辅助下脑室-腹腔分流术治疗小儿脑积水的效果。方法 74例小儿脑积水患儿,随机分为对照组和观察组,每组37例。对照组患儿给予常规脑室-腹腔分流术治疗,观察组患儿接受腹腔镜辅助下脑室-腹腔分流术治疗,对比两组的治疗效果。结果观察组患儿手术时间、住院时间、切口长度均明显短于对照组,差异具有统计学意义(P<0.05)。观察组患儿术后并发症发生率为5.41%,对照组为27.03%,观察组术后并发症发生率明显低于对照组,差异具有统计学意义(P<0.05)。结论腹腔镜辅助下脑室-腹腔分流术治疗小儿脑积水的效果显著,可缩短手术时间和住院时间,切口长度较小,且手术安全性高,故值得推广应用。

Objective To investigate the effect of laparoscopic assisted ventriculo-peritoneal shunt for the treatment of children with hydrocephalus. Methods A total of 74 children with hydrocephalus were randomly divided into control group and observation group, 37 cases in each group. The control group was treated with conventional ventriculo-peritoneal shunt, and the observation group was treated with laparoscopic assisted ventriculo-peritoneal shunt. The treatment effects between the two groups were compared. Results The operative time, length of stay and length of incision in the observation group were significantly shorter than those in the control group, the differences were statistically significant（P〈0.05）. The incidence of postoperative complications in the observation group was 5.41%, and that in the control group was 27.03%. The incidence of postoperative complications in the observation group was significantly lower than that in the control group, the difference was statistically significant（P〈0.05）. Conclusion Laparoscopic assisted ventriculo-peritoneal shunt for the treatment of children with hydrocephalus has obvious effects. It can shorten the operative time and the length of stay, the length of incision is small, and the operative safety is high. Therefore, it is worthy of popularization and application.