儿童后颅窝囊肿伴梗阻性脑积水的内镜治疗  

Endoscopic surgery in children for intracranial cysts of the posterior fossa combined with obstructive hydrocephalus

作　　者：陈国强[1] 肖庆[1] 郑佳平[1] 左焕琮[1] 

机构地区：[1]清华大学玉泉医院神经外科,北京100049

出　　处：《中国内镜杂志》2008年第9期948-951,共4页China Journal of Endoscopy

摘　　要：目的探讨软性神经内镜治疗儿童后颅窝囊肿的应用价值。方法对15例不同类型的儿童后颅窝囊肿伴梗阻性脑积水的患者采用经枕下入路或经幕上额部穿刺入路方式,在软性内镜下分别进行囊壁切除、囊肿-脑池或囊肿-脑室造瘘、第三脑室底造瘘、导水管重建等治疗。结果10例蛛网膜囊肿及3例Dandy-Walker囊肿治疗获得成功,脑脊液循环梗阻得到解除,术前颅高压症状消失,脑功能障碍得到不同程度改善,无效2例,没有死亡及严重并发症出现。结论由于软性内镜特有的性能特征,在后颅窝囊肿内及蛛网膜下腔探查及治疗中几乎没有盲区或死角,可根据囊肿的具体情况采用不同术式进行内镜下治疗,在对儿童后颅窝囊肿伴梗阻性脑积水的治疗中,软性神经内镜与其他术式相比具有明显优势,可提高治疗效果,减少并发症的发生,值得推广。[Objective] To study the application of flexible neuroendoscope in the treatment for intracranial cysts of the posterior fossa combined with obstructive hydrocephalus in children. [Methods] 15 cases of children with different types of intracranial cysts of the posterior fossa combined with obstructive hydrocephalus were treated by vesiculotomy, cyst-cisterna or cyst-ventricle fistulation, third ventriculostomy or dilatation of ventricular aqueduct based on flexible endoscope through suboccipital or supraten...

关 键 词：后颅窝囊肿 梗阻性脑积水 内镜治疗 儿童 

分 类 号：R726.5[医药卫生—儿科]