【摘要】 目的评价神经导航在脑室-腹腔分流术的临床应用价值。方法回顾性分析43例脑积水临床资料,常规组23例(常规开展脑室-腹腔分流术),导航组20例(应用神经导航行脑室-腹腔分流术),比较两组手术时间、术后临床症状改善情况、脑室缩小程度与并发症发生率。结果导航组手术时间(64.8±6.6)min明显少于常规组(87.0±7.4)min(P=0.000),临床症状缓解程度(P=0.037)与脑室缩小程度(P=0.043)均明显优于常规组,分流管偏移发生率明显少于常规组(P=0.004)。术后3个月,导航组未发生分流管堵塞,常规组8例病人术后发生不同程度堵管,两者具有显著统计学差异(P=0.004)。结论术中应用神经导航经枕角行脑室-腹腔分流术能明显减少分流管偏移,降低堵管风险,值得临床推广。更多还原

【Abstract】 Objective To evaluate the clinical value of neuronavigation for ventriculo-peritoneal shunt(V-PS) in hydrocephalus patients.Methods The clinical data of 43 patients with hydrocephalus were analyzed retrospectively,who were divided into conventional group(n=23,by conventional V-PS) and navigation group(n=20,by neuronavigation-assisted V-PS).The operation time,postoperative improvement of clinical symptoms,degree of ventricular reduction and the incidence of complications were compared between the two groups.Results The operation time was less in navigation group than in conventional group(64.8±6.6 min vs 87.0±7.4 min,P = 0.000).Navigation group was superior to conventional group in symptom improvement(P=0.037) and ventricular reduction(P=0.043).The incidence of catheter shifting in the navigation group was significantly less than that in the conventional group(P=0.004).There was no blocked shunt in the navigation group but 8 cases in conventional group,and the difference was significant(P=0.004).Conclusion The neuronavigation-assisted V-PS through the occipital horn could reduce deviation of the catheter and the risk of blocking,deserving further popularization clinically.更多还原