| 摘要: |
| ［摘要］ 目的 探讨腹腔镜下脑室-腹腔分流术治疗脑积水的优点及并发症的处理。方法 回顾分析39例脑积水患者采用腹腔镜辅助下脑室-腹腔分流手术治疗的临床资料。结果 38例患者术后随访3个月～1年（1例因电话号码更换失访），症状完全消失26例，明显好转8例，无明显改善4例。术后共出现并发症6例（15.4%），分别为分流管堵塞2例，癫痫1例，感染1例，硬膜下血肿1例，脑室出血1例。结论 应用腹腔镜行脑室-腹腔分流手术治疗脑积水创伤小、安全快捷有效，明显减少引流管堵塞、被包裹、感染、肠梗阻等并发症的发生，值得推广应用。 |
| 关键词: 腹腔镜 脑室-腹腔分流术 脑积水 并发症 |
| DOI：10.3969/j.issn.1674-3806.2014.11.12 |
| 分类号:R 724.7 |
| 基金项目: |
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| Laparoscopic ventriculo-peritoneal shunt for hydrocephalus: analysis of 39 cases |
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YANG Chun-hong, XU Dong-chu, YANG Feng-zhong
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Department of Neurosurgery, Huaiyin Hospital of Huai′an City, Jiangsu 223300, China
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| Abstract: |
| ［Abstract］ Objective To investigate the advantages and complications of laparoscopic ventriculo-peritoneal shunt for hydrocephalus.Methods A retrospective analysis was performed on the clinical data of 39 patients with hydrocephalus treated by laparoscopic ventriculo-peritoneal shunt.Results Thirty-eight patients were followed up for 3 months to 1 year, one of them lost follow-up because telephone number replacement. Symptoms fully disappeared in 26 cases, symptoms significantly improved in 8 cases, symptoms did not significantly improved in 4 cases. Postoperative complications occurred in 6 cases(15.4%), including: shunt tube obstruction in 2 cases, epilepsy in 1 case, infection in 1 case, subdural hematoma in 1 case, intraventricular hemorrhage in 1 case.Conclusion Laparoscopic ventriculo-peritoneal shunt for hydrocephalus has advantages of less trauma, safe, fast, exact effect and less complications such the drainage tube clogging, wrapped, infection, intestinal obstruction and worthy of popularizing. |
| Key words: Laparoscope Hydrocephalus Ventriculo-peritoneal shunt Complications |
