脑室置管镜辅助下改良切口行脑室-腹腔分流术  

Preliminary clinical application of improved incisions for ventriculoperitoneal shunt assisted with ventriculoscope

作　　者：汤灿[1] 张恒柱 严正村 王晓东 佘磊 董伦 魏民 李育平 王杏东 Tang Can;Zhang Hengzhu;Yan Zhengcun;Wang Xiaodonga;She Lei;Dong Lun;Wei Min;Li Yuping;Wang Xingdong(Department ofNeurosurgery, Xiangya School of Medicine, Central South University, Changsha, Hunan 410013, China;Department of Neurosurgery, Clinical Medical College of Yangzhou University, Yangzhou, Jiangsu 225001, China)

机构地区：[1]中南大学湘雅医学院神经外科,长沙410013 [2]扬州大学临床医学院神经外科,225001

出　　处：《中国微侵袭神经外科杂志》2018年第2期71-73,共3页Chinese Journal of Minimally Invasive Neurosurgery

基　　金：扬州市重点研发项目(编号:YZ2015046)

摘　　要：目的初步探讨脑室置管镜辅助下改良切口行脑室-腹腔分流术治疗脑积水的临床优势。方法回顾性分析10例脑积水病例资料,均应用脑室置管镜辅助下改良切口行脑室-腹腔分流术。结果 10例病人脑积水症状均得到不同程度缓解。改良切口后分流术手术时间35~60min,平均(45.0±1.2)min,较传统分流术明显缩短。脑室端置管位置准确,无脑室置管镜相关并发症,无死亡病例。结论脑室置管镜辅助下改良切口行脑室-腹腔分流术安全可靠,定位精确,微创,手术时间明显缩短,相关并发症发生率低,具有临床应用价值。Objective To investigate the clinical value of improved incisions ventriculoperitoneal shunt assisted with ventriculoscope.Methods The clinical data of 10 patients with hydrocephalus undergoing improved incision ventriculoperitoneal shunt assisted with ventriculoscope were analyzed retrospectively. Results The hydrocephalus symptoms were relieved to varying degrees in 10 cases. The operation time was 35-60 minutes, an average of（45.0 ± 1.2） min. Compared with the traditional shunt, the operation time was significantly shorter. The terminal position of shunt in ventricle was accurate, there were no complications associated with ventriculoscope and no death. Conclusions The ventriculoperitoneal shunt incision improved by means of a ventriculoscope is safe, accurate, minimally invasive and fast with a low complication rate and application value.

关 键 词：脑积水 脑室置管镜 脑室-腹腔分流 

分 类 号：R742.7[医药卫生—神经病学与精神病学]