儿童脑积水的外科治疗进展  

Research Advance of Surgical Treatment in Pediatric Hydrocephalus

作　　者：唐伟[1] 刘云会[1] 

机构地区：[1]中国医科大学附属盛京医院第一神经外科,沈阳110004

出　　处：《医学综述》2016年第21期4241-4244,共4页Medical Recapitulate

摘　　要：儿童脑积水是由于脑脊液循环障碍所致。脑室-腹腔分流术(VPS)可以将多余的脑脊液分流至腹腔,适用于几乎所有的脑积水病例,而内镜下第三脑室底造瘘术(ETV)可以解决梗阻性脑积水。分流管经过从1952年至今的发展,可调压分流管已经广泛应用。但是VPS的并发症较多,主要的并发症有分流管梗阻及感染,如何减少并发症是VPS研究的重点。目前VPS与ETV的比较仍需进一步的研究。Pediatric hydrocephalus is caused by dysfunction of circulation of cerebral-spinal fluid. By draining redundant cerebral-spinal fluid into peritoneal cavity, ventriculo-peritoneal shunt （VPS） is suitable to most cases, while endoscopic third ventriculostomy （EFV） aims at obstructive hydroc_ephalus. With thedevelopment of shunt system from 1952, the programmable shunt is widely used. However, there are still many complications of shunt, mainly obstruction and infection. ETV is coming into use recent＇ years, mainly in obstructive hydrocephalus and cases failing of shunt. Now more research should be carried out in the compari- son of VPS and ETV.

关 键 词：儿童脑积水 脑室-腹腔分流术 内镜下第三脑室底造瘘术 并发症 

分 类 号：R742.7[医药卫生—神经病学与精神病学]