【摘要】 目的观察神经内镜下第三脑室造瘘术(ETV)在交通性脑积水治疗中的临床效果。方法回顾性分析我院23例实施神经内镜下第三脑室造瘘术的交通性脑积水患者临床资料。结果 15例术前MRI显示为第四脑室异常扩张和"喇叭形"中脑导水管出口,12例治疗效果良好;无此影像学特征的8例患者均失败,均采用分流术治疗。结论神经内镜下第三脑室底造瘘术为一种有效的治疗交通性脑积水的方法。更多还原

【Abstract】 Objective To observe the clinical effect of endoscopic 3rd ventriculostomy in the treatment of communicating hydrocephalus. Methods Retrospective analysed 23 cases with communicating hydrocephalus under endoscopic 3rd ventriculostomy clinical data of our hospital. Results 15 patients’ preoperative MRI showed abnormal enlargement of the fourth ventricle and outward expansion of the celebral aqueduct outflow like a horn, 12 among them obtained satisfying effect. The other 8 cases without the imaging features failed and required shut insertion. Conclusion Endoscopic 3rd ventriculostomy is an effective method for the treatment of communicating hydrocephalus.更多还原