微创脑室-腹腔分流术治疗脑积水的效果

Effect of Minimally Invasive Ventriculoperitoneal Shunt in the Treatment of Hydrocephalus

目的评估脑积水行腹腔镜辅助下脑室-腹腔分流术治疗的效果。方法于本院2017 年2 月—2018 年2 月收治的脑积水患者中,随机选取68 例作为样本,根据手术类型的不同,将患者分为2 组,对照组行常规脑室-腹腔分流术治疗,观察组行腹腔镜辅助下脑室-腹腔分流术治疗。结果观察组手术时间(76.59±3.41)min、切口(1.54±0.10)cm、出血(15.61±3.88)mL、住院(6.77±1.20)d、有效率97.06%、感染率2.94%、水肿率2.94%、KPS(86.77±4.11)分。对照组手术时间(89.95±5.29)min、切口(2.68±0.23)cm、出血(67.93±10.57)mL、住院(10.52±1.09)d、有效率82.35%、感染率20.59%、水肿率17.65%、KPS(59.32±5.38)分。两组数据对比,有统计学差异(P < 0.05)。结论行腹腔镜辅助下脑室-腹腔分流术治疗脑积水,临床疗效显著,安全性强。

Objective To evaluate the effect of laparoscopic-assisted ventriculoperitoneal shunt for hydrocephalus. Methods The control group received conventional ventriculoperitoneal shunt, while the observation group received laparoscopic-assisted ventriculoperitoneal shunt. Results In the observation group, the operative time was (76.59±3.41) min, the incision time was (1.54 ±0.10) cm, the bleeding time was (15.61±3.88) mL, the hospitalization time was (6.77±1.20) d, the effective rate was 97.06%, the infection rate was 2.94%, the edema rate was 2.94%, and the KPS score was (86.77±4.11). In the control group, the operative time was (89.95±5.29) min, the incision time was (2.68±0.23) cm, the bleeding time was (67.93±10.57) mL, the hospitalization time was (10.52±1.09)d, the effective rate was 82.35%, the infection rate was 20.59%, the edema rate was 17.65%, and the KPS score was (59.32±5.38). There was a significant difference between the two groups (P<0.05). Conclusion Laparoscopicassisted ventricul operitonal shunt is effective and safe in the hydrocephalus treatment.