腹腔镜下脑室-腹腔分流术在脑积水患儿治疗中的应用效果  

The Application Effect of Laparoscopic Ventriculo-peritoneal Shunt in the Treatment of Children with Hydrocephalus

作　　者：卢烜 盛汉松[2] LU Xuan;SHENG Hansong(Department of Emergency Pediatrics,Guiyang Maternal and Child Health Care Hospital·Guiyang Children's Hos-pital,Guiyang,Guizhou,550001,China;Department of Neurosurgery,The Second Affiliated Hospital of Wenzhou Medical University,Wenzhou,Zhejiang,325000,China)

机构地区：[1]贵阳市妇幼保健院·贵阳市儿童医院急诊儿科,贵州贵阳550001 [2]温州医科大学附属第二医院神经外科,浙江温州325000

出　　处：《中外医疗》2025年第4期36-39,共4页China & Foreign Medical Treatment

摘　　要：目的 分析在脑积水患儿治疗中行腹腔镜下脑室-腹腔分流术的应用效果。方法 便利选取2018年6月—2023年6月贵阳市妇幼保健院·贵阳市儿童医院收治的73例脑积水患儿为研究对象,根据不同治疗方法分为对照组(37例)、观察组(36例)。观察组采取腹腔镜下脑室-腹腔分流术,对照组采取传统脑室分流术,对比两组患儿的治疗有效率、手术相关指标(手术时间、术后排气时间)、并发症发生率。结果 治疗总有效率观察组比对照组更高[91.67%(33/36)比70.27%(26/37)],差异有统计学意义(χ^(2)=5.389,P=0.020)。观察组手术时间、术后排气时间均短于对照组,并发症总发生率低于对照组,差异均有统计学意义(P均<0.05)。结论 针对脑积水患儿实施腹腔镜脑室-腹腔分流术效果较好,能够有效缩短手术时间,加快术后排气,提高治疗有效率,降低并发症发生风险,改善患儿预后。Objective To analyze the application effect of laparoscopic ventriculo-peritoneal shunt in the treatment of children with hydrocephalus.Methods A total of 73 children with hydrocephalus admitted to Guiyang Maternal and Child Health Care Hospital·Guiyang Children's Hospital from June 2018 to June 2023 were conveniently selected as the research objects.According to different treatment methods,they were divided into control group(37 cases)and ob⁃servation group(36 cases).The observation group was treated with laparoscopic ventriculo-peritoneal shunt,and the control group was treated with traditional ventricular shunt.The treatment efficiency,operation related indexes(opera⁃tion time,postoperative exhaust time)and complications were compared between the two groups.Results The total ef⁃fective rate of treatment was higher in the observation group than in the control group[91.67%(33/36)vs 70.27%(26/37)],and the difference was statistically significant(χ^(2)=5.389,P=0.020).The operation time and postoperative exhaust time of the observation group were shorter than those of the control group,and the total incidence of complications was lower than that of the control group.and these differences were statistically significant(all P<0.05).Conclusion Lapa⁃roscopic ventriculo-peritoneal shunt for children with hydrocephalus has a better effect,which can effectively shorten the operation time,accelerate postoperative exhaust,improve the treatment efficiency,reduce the risk of complications and improve the prognosis of children.

关 键 词：脑积水 患儿 腹腔镜 脑室-腹腔分流术 应用效果 

分 类 号：R726.5[医药卫生—儿科]