论文部分内容阅读
目的总结脑室-腹腔分流术(V-P分流术)中采用神经内镜辅助分流管脑室端固定的疗效。方法回顾性分析13例脑积水病人的临床资料,均行V-P分流术,术中行侧脑室额角或枕角穿刺,并在神经内镜监视下固定分流管脑室端于透明隔,同时行透明隔造瘘4例,术后随访并复查头部CT。结果术后无明显头痛、发热及颅内出血者。术后平均随访14个月,复查头部CT显示:所有病人分流管脑室端均固定于透明隔,无移位、分流管堵塞等严重并发症;脑室较术前明显缩小4例(31%),稍缩小6例(46%),无明显变化3例(23%)。结论神经内镜辅助分流管脑室端固定,可在一定程度减少分流管堵塞的发生,为防治此类并发症提供新思路。
Objective To summarize the efficacy of neuroendoscopy assisted shunt ventricular end-fixation in ventricular-peritoneal shunt (V-P shunt). Methods The clinical data of 13 patients with hydrocephalus were retrospectively analyzed. All the patients underwent VP shunt. The lateral ventricle forehead or occipital puncture was performed during operation. The end of shunt ventricle was fixed in the transparent septum under the surveillance of neuroendoscopy. At the same time, Fistula in 4 cases, follow-up and review of head CT. No obvious postoperative headache, fever and intracranial hemorrhage were. All cases were followed up for an average of 14 months. The head CT scan showed that all the ventricular end of the shunt were fixed in the transparent septum without dislocation and blocked the shunt. Serious complications such as ventricular contraction were significantly reduced in 4 cases (31%), , Slightly smaller in 6 cases (46%), no significant change in 3 cases (23%). Conclusion Neuroendoscopy assisted shunt ventricular end fixation, to some extent, reduce the occurrence of shunt blockage, to provide such a new idea for the prevention and treatment of such complications.