腹腔镜下行脑室-腹腔分流术治疗脑积水的效果、并发症发生率及对患者日常生活能力评分的影响

Effect and incidence of complications of laparoscopic ventriculoperitoneal shunt in the treatment of hydrocephalus and its impact on patients' daily living ability score

目的探讨腹腔镜下行脑室-腹腔分流术治疗脑积水的效果、并发症发生率及对患者日常生活能力评分的影响。方法将在本院行手术治疗的脑积水患者68例根据入院序号奇偶数分为对照组和观察组,每组34例。对照组实施开腹脑室-腹腔分流术,观察组在腹腔镜下行脑室-腹腔分流术。比较两组的治疗效果。结果治疗6个月后,观察组治疗总有效率及BI评分明显高于对照组,并发症总发生率明显低于对照组(P<0.05)。结论针对脑积水患者实施腹腔镜下脑室-腹腔分流术效果显著,可显著提升患者日常生活能力,降低并发症发生率,值得推广。

Objective To investigate the effect and incidence of complications of laparoscopic ventriculoperitoneal shunt in the treatment of hydrocephalus and its impact on patients＇ daily living ability score. Methods Sixty-eight patients with hydrocephalus who underwent operation in our hospital were divided into control group and observation group according to odd and even numbers of admission numbers, with 34 cases in each group. The control group received open ventriculoperitoneal shunt, and the observation group underwent laparoscopic ventriculoperitoneal shunt. The therapeutic effects of the two groups were compared. Results After 6 months of treatment, the total effective rate and BI score of the observation group were significantly higher than those of the control group, and the total incidence of complications in the observation group was significantly lower than that of the control group（P〈0.05）. Conclusion Laparoscopic ventriculoperitoneal shunt in the treatment of hydrocephalus has significant effect, which can significantly improve patients＇ daily living ability, decrease the incidence of complications, and is worthy of promotion.