神经内镜对梗阻性脑积水治疗的研究  

Research of Neuroendoscopy for the Treatment of Obstructive Hydrocephalus

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作  者:卢伟坤 方凯[1] 蒋晓星[1] 梁亚明[1] 朱永晖[1] 陈文焰 曾凡猛[1] 

机构地区:[1]肇庆市第二人民医院,广东肇庆526060

出  处:《临床医学工程》2017年第4期457-458,共2页Clinical Medicine & Engineering

摘  要:目的探讨神经内镜第三脑室底造瘘术与脑室腹腔分流术治疗梗阻性脑积水的临床应用价值。方法选取梗阻性脑积水患者30例作为研究对象,根据手术方式分为A组20例(神经内镜第三脑室底造瘘术)和B组10例(脑室腹腔分流术)。观察两组患者的治疗效果。结果 A组的手术时间、住院时间、住院费用均优于B组,但手术费用高于B组,差异均有统计学意义(P<0.05)。A组的近期疗效为95.00%、远期疗效为80.00%,均优于B组的70.00%、50.00%,差异均有统计学意义(P<0.05)。结论神经内镜第三脑室底造瘘术治疗梗阻性脑积水具有良好的临床效果,可帮助患者缩短住院时间,降低住院费用,提升远期治疗效率,值得临床推广应用。Objective To explore the clinical value of endoscopic third ventriculostomy and cerebral ventriculo-peritoneal shunt for the treatment of obstructive hydrocephalus. Methods 30 cases of patients with obstructive hydrocephalus were selected as research objects.According to the surgical methods,all cases were divided into two groups. 20 cases of group A received endoscopic third ventriculostomy,while 10 cases of group B received cerebral ventriculo-peritoneal shunt. The clinical effects of two groups were observed. Results The operation time and length of hospital stay of group A were significantly shorter than those of group B,the hospitalization expense was significantly lower than that of group B,while the operation cost was significantly higher than that of group B(all P〈0.05). The short term effective rate and long term effective rate of group A were 95.00% and 80.00% respectively,significantly higher than 70.00% and 50.00% of group B(both P〈0.05). Conclusions Endoscopic third ventriculostomy has significant clinical effect for the treatment of obstructive hydrocephalus,which can help patients' to shorten length of hospital stay,reduce hospitalization expense and improve the long term efficacy.

关 键 词:神经内镜第三脑室底造瘘术 脑室腹腔分流术 梗阻性脑积水 

分 类 号:R742.7[医药卫生—神经病学与精神病学]

 

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