腹腔镜下脑室-腹腔分流术治疗小儿脑积水的疗效及安全性分析

Efficacy and Safety of Laparoscopic Ventricular-peritoneal Shunt for Children with Hydrocephalus

目的分析腹腔镜下脑室-腹腔分流术治疗小儿脑积水的疗效及安全性。方法简单随机选取2015年6月-2019年6月该院小儿脑积水患儿61例,随机分为腹腔镜下脑室-腹腔分流术组(腹腔镜组,n=31)和传统脑室-腹腔分流术组(传统组,n=30)两组,统计分析两组患儿的手术相关指标、Kamofsky评分、临床疗效、术后并发症发生情况。结果腹腔镜组患儿的手术时间、术后排气时间均显著短于传统组(P<0.05),治疗的总有效率83.87%(26/31)显著高于传统组73.33%(22/30),差异有统计学意义(χ^2=10.16,P<0.05),术后并发症发生率9.68%(3/31)显著低于传统组43.33%(13/30),差异有统计学意义(χ^2=15.21,P<0.05)。结论腹腔镜下脑室-腹腔分流术治疗小儿脑积水的疗效及安全性较传统脑室-腹腔分流术高。

Objective To analyze the efficacy and safety of laparoscopic ventricular-peritoneal shunt in the treatment of hydrocephalus in children.Methods Sixty-one children with hydrocephalus in the hospital from June 2015 to June 2019 were convenient randomly divided into a laparoscopic ventricular-peritoneal shunt group(laparoscopic group,n=31)and a traditional ventricular-peritoneal shunt operation group(traditional group,n=30)was divided into two groups,and the surgical related indicators,Kamofsky score,clinical efficacy,and postoperative complications of the two groups of children were statistically analyzed.Results The operation time and postoperative exhaust time of children in the laparoscopic group were significantly shorter than those in the traditional group(P<0.05).The total effective rate of treatment was 83.87%(26/31),which was significantly higher than that of the traditional group 73.33%(22/30),and the difference was statistically significant(χ^2=10.16,P<0.05).The incidence of postoperative complications was 9.68%(3/31),which was significantly lower than that of the traditional group 43.33%(13/30),and the difference was statistically significant(χ^2=15.21,P<0.05).Conclusion Laparoscopic ventricular-peritoneal shunt is more effective and safer in treating hydrocephalus in children than traditional ventricular-peritoneal shunt.