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目的探讨用脑认知功能评价儿童脑积水三脑室底造瘘术后疗效的价值。方法 2007年6月～2012年6月,对20例行三脑室底造瘘术的脑积水患儿于手术前和术后2、6个月进行智能评测(采用Gesell发育诊断量表,包括适应行为、大运动行为、精细运动行为、语言行为和个人-社会行为)及脑室额角宽度测量,进行术后疗效评价。结果术后2、6个月与术前相比智能测定有统计学差异(P<0.01),分别有8/20和15/20患儿DQ恢复正常。术后脑室大小较术前差异无显著性(P>0.05)。结论脑发育的改善及脑认知功能的恢复对儿童脑积水三脑室底造瘘术后疗效的评价有重要意义。
Objective To evaluate the value of brain cognitive function in evaluating the efficacy of hydrocephalus and three ventricle fistula in children. Methods From June 2007 to June 2012, 20 children with hydrocephalus who underwent third ventricle fistulation were evaluated preoperatively and at 2,6 months after surgery (using the Gesell Diagnostic Scale, including Adaptation behavior, major motor behavior, fine motor behavior, language behavior and personal - social behavior) and forehead width measurement, postoperative evaluation. Results There was a significant difference (P <0.01) between the 2 and 6 months postoperatively, and 8 and 15/20 children had normal DQ. Postoperative ventricular size was no significant difference compared with preoperative (P> 0.05). Conclusion The improvement of brain development and the recovery of brain cognitive function are important for the evaluation of the curative effect of pedunculated three-ventricle fistula in children.