【摘要】 目的探讨神经内镜第三脑室底造瘘手术治疗阻塞性脑积水与脑室-腹腔分流手术相比较是否有优势。方法通过分析1999年1月至2003年10月所做的阻塞性脑积水脑室-腹腔分流68例,与2003年10月至2007年5月所做阻塞性脑积水神经内镜手术45例的疗效、并发症及预后进行比较。结果两种手术方法治疗阻塞性脑积水疗效相近,但并发症、手术时间等明显不相同。结论神经内镜下第三脑室底-脚间池造瘘术治疗阻塞性脑积水的并发症及复发率明显降低,手术时间短,住院费用减少,应作为治疗梗阻性脑积水的首选方法。更多还原

【Abstract】 Purpose To discuss if the technique of treating occlusive hydrocephalus in the neuroendoscope fenestration of the third ventricle floor is more advantageous than the ventriculoperitoneal shunt.Method Comparing the curative effect, neopathy and recovery through statistics of two series. The part one concluded 45 cases of the neuroendoscope fenestration of the third ventricle floor(Interpeduncular cistern)between Oct, 2003 and May, 2007. The other concluded 68 cases of the ventriculoperitoneal shunt between Jan, 1999 and Oct, 2003.Result The curative effect of two techniques was almost the same, but the rate of complications and recurrences and the operation time were obviously variant.Conclusion The neuroendoscope fenestration of the third ventricle floor should be adopted as the principal technique to treat occlusive hydrocephalus since the operation contributes to the distinctly low rate of conplication and recurrence, as well as short operation time and low hospitalization fee.更多还原