神经内镜下第三脑室底造瘘术治疗脑积水11例分析  

Endoscopic third ventriculostomy treatment of hydrocephalus:analysis of 11 cases

作　　者：刘方军[1,2] 宋明[1,2] 张永力[1,2] 孙玉明[1,2] 

机构地区：[1]首都医科大学第十一临床医学院 [2]北京市三博脑科医院神经外科,北京100093

出　　处：《中华腔镜外科杂志（电子版）》2011年第1期56-58,共3页Chinese Journal of Laparoscopic Surgery(Electronic Edition)

摘　　要：目的探讨神经内镜下第三脑室底造瘘术(ETV)治疗脑积水的手术技巧、疗效及并发症的预防。方法回顾性分析2008年7月至2010年8月接受ETV的11例脑积水患者的临床资料,其中梗阻性脑积水8例,交通性脑积水3例。复习相关文献资料进行分析。结果 9例患者临床症状明显好转,1例临床症状未见明显变化,1例术后出现造瘘口闭合,行脑室-腹腔分流术后临床症状好转。结论 ETV治疗脑积水符合生理结构,安全有效,并发症少,应大力推广此手术方式。Objective To investigate the technique,efficacy and complications of endoscopic third ventriculostomy（ETV） in hydrocephalus.Methods Clinical data of 11 hydrocephalus patients who received ETV from July 2008 to August 2010 were analysized retrospectively.Eight patients were obstructive hydrocephalus,3 patients were communicating hydrocephalus.Relevant literatures was summarized.Results Cinical symptoms in 9 patients were improved,1 case was not obvious changed.After stoma closed in 1 patients,ventriculo-peritoneal shunt was used to improve the clinical symptoms.Conclusions ETV is an effective and safe method to hydrocephalus.It is in keeping with the physiological structure,less complications and should be popularized.

关 键 词：神经内镜 第三脑室底造瘘术 脑积水 

分 类 号：R651.1[医药卫生—外科学]