神经内镜下第三脑室底造瘘术在交通性脑积水治疗中的效果观察  

The Effect of Endoscopic 3rd Ventriculostomy in the Management of Communicating Hydrocephalus

作　　者：李凤强[1] 赵英志[1] 李浩[1] 孙宇男[1] 刘丽娟[1] 

机构地区：[1]吉林省前卫医院神经外科,长春130012

出　　处：《中国卫生标准管理》2015年第13期74-75,共2页China Health Standard Management

摘　　要：目的观察神经内镜下第三脑室造瘘术(ETV)在交通性脑积水治疗中的临床效果。方法回顾性分析我院23例实施神经内镜下第三脑室造瘘术的交通性脑积水患者临床资料。结果 15例术前MRI显示为第四脑室异常扩张和"喇叭形"中脑导水管出口,12例治疗效果良好;无此影像学特征的8例患者均失败,均采用分流术治疗。结论神经内镜下第三脑室底造瘘术为一种有效的治疗交通性脑积水的方法。Objective To observe the clinical effect of endoscopic 3rd ventriculostomy in the treatment of communicating hydrocephalus. Methods Retrospective analysed 23 cases with communicating hydrocephalus under endoscopic 3rd ventriculostomy clinical data of our hospital. Results 15 patients’preoperative MRI showed abnormal enlargement of the fourth ventricle and outward expansion of the celebral aqueduct outflow like a horn,12 among them obtained satisfying effect. The other 8 cases without the imaging features failed and required shut insertion. Conclusion Endoscopic 3rd ventriculostomy is an effective method for the treatment of communicating hydrocephalus.

关 键 词：神经内镜 第三脑室造瘘术 交通性脑积水 

分 类 号：R742[医药卫生—神经病学与精神病学]