【摘要】 目的　探讨微创下脑室—腹腔分流术治疗脑积水、蛛网膜囊肿的方法。　方法　 1991年 1月至 2 0 0 0年 12月 ,采用自制通条和带裂隙的腹腔套管刺针行微创脑室 (或囊肿 )—腹腔分流术 2 86例。　结果　本组病人均一次手术成功 ,无出血、感染、腹腔脏器损伤、肠粘连等手术并发症。术后 1～ 2周复查头颅CT或MRI,脑积水均消失或蛛网膜囊肿明显减小 ,引流管通畅。　结论　微创脑室—腹腔分流术简便 ,创伤小 ,效果良好。更多还原

【Abstract】 Objective To study minimally invasive ventriculoperitoneal shunting for the treatment patients with hydrocephalus or arachnoid cysts Methods 286 patients were treated by minimally invasive ventriculopertioneal or cystoperitoneal shunting using stylet and abdominal puncture needle designed by myself. Results All the operations were successful. No complications occurred such as hemorrhages, infections, injury of abdominal organs and intestinal adhesions. Postoperative computed tomography and magnetic resonance image showed the disappearance of hydrocephalus and a marked decease in the size of the cyst. Conclusions Minimally invasive ventriculoperitoneal shunting is a simple, minimal invasion and has a good therapeutic effect.更多还原