神经内镜下治疗梗阻性脑积水  

Treatment of Obstructive Hydrocephalus with Encoscopic Neurosugery

作　　者：蔡润[1] 陈坚[2] 彭翔[1] 屈洪艳[1] 

机构地区：[1]东风公司总医院神经外科 [2]华中科技大学同济医学院附属同济医院神经外科,湖北武汉430030

出　　处：《中国临床神经外科杂志》2003年第6期444-445,共2页Chinese Journal of Clinical Neurosurgery

摘　　要：目的探讨对梗阻性脑积水患者采用神经内镜下进行第三脑室底和(或)透明隔造瘘的手术方法进行治疗,分析手术成功与失败的原因。方法对10例不同原因造成的梗阻性脑积水患者进行10次神经内镜下第三脑室底造瘘或/和透明隔造瘘术。结果随诊1-12月,平均6月显效8例有效1例无效1例(改V-P分流术)。手术并发症:1例轻度颅内感染、1例轻度脑室内出血,无死亡病例。结论神经内镜下第三脑室底造瘘或/和透明隔造瘘手术治疗梗阻性脑积水是一种完全有效的手术方法。但为了提高手术疗效应有良好的手术器械,严格掌握手术适应症并能熟练进行手术操作。Objectives To investigate the curative effect of third ventriclostomy and/or pellucid septostomy on the obstructive hydrocephalus by endoscopic neurosurgery and to analyze the causes of the operative success and failure.Method The endoscope-assisted third ventriclostomy and/or pellucid septostomy were performed in10patients with obstructive hydrocephalus induced by various causes.Results The data of following up from1to12months showed that of10patients with hydrocephalus undergoing the endoscopic neurosurgery,8were good,1was fair,and1unchanged(cured by V-P shunt later).The operative complications included slight intracranial infection(1case),slight intraventricular hemorrhage(1case).No patient died.Conclusion The endoscope-assisted third ventriclostomy and/or pellucid septostomy are safe and effective operations for obstructive hydrocephalus.The fine instrument,strict operation indication and skilled technique are necessary for improving the operative efficacy.

关 键 词：梗阻性脑积水 神经内窥镜 第三脑室底造瘘 透明隔造瘘术 

分 类 号：R742.7[医药卫生—神经病学与精神病学] R651.11[医药卫生—临床医学]