【摘要】 目的探讨比较腹腔镜辅助下的脑室-腹腔(V-P)分流术与传统的V-P分流术的手术疗效。方法回顾性分析39例脑积水患者,其中腹腔镜治疗组19例,常规手术组20例。结果均行随访,平均12个月。术后1周、1个月及3个月行头颅CT检查。腹腔镜治疗组19例,脑室缩小至正常17例,1例好转,行腹部X线平片检查,引流管均在肝隔面,1例分流管调整,无颅内感染及腹腔感染;常规手术组20例,脑室缩小至正常10例,2例好转,4例分流管堵塞,经调整后情况恢复,4例有颅内感染及腹腔感染,需更换分流管。结论腹腔镜辅助下的侧脑室-肝隔间隙分流术治疗脑积水,与传统的常规V-P分流术比较,是一种安全有效、值得推广的治疗方法。更多还原

【Abstract】 Objective To compare the effect of ventriculo-peritoneal shunt assisted with laparoscope to that of conventional ventaculo-peritoneal shunt reported in literature. Methods A total of 39 cases of hydrocephalus treated were retrospectively reviewed. Laparoscope operation group 19 cases and 20 cases by routine open operation group. Results Follow-up was made in 39 cases for averaged 12 months after operation; In laparoscope operation group, 17 cases recovered to normal ventrides in the CT image 1 week, 1 month and 3 months after operation respectively, and 1 case appeared with improvement, X-ray examination showed the catheters were right located at hepato-diaphragm, 1 case appeared management of shunt, no intracranid infection and intraperitoneal infection appeared; In routine open operation group, 10 cases recovered to normal ventrides and 2 cases appeared with improvement, 4 cases of shunt blockage but recovery after adjustment, intracranid infection and intraperitoneal infection occurred in 4cases to replace the shunt tubes. Conclusions Compared with the classical conventional ventriculo-peritoneal shunt, the lateral ventriculo-hepatodiaphragm shunt with assistance of laparoscope is a safe and effective treatment, which deserves to promote for treating hydrocephalus.更多还原