摘要
目的:总结腹腔镜下脑室-腹腔分流术与常规脑室-腹腔分流术的疗效对比。方法:分析92例脑积水患者,其中腹腔镜治疗组61例,常规手术组31例。结果:腹腔镜组分流管腹腔端梗阻发生率为6.5%,常规手术组梗阻发生率为29.0%(P(0.05)。术后感染率分别为4.91%和19.3%,χ2检验无显著差异。随访调查karnofsky评分,腹腔镜治疗组平均值70.2±11.2,常规手术组56.3±10.2(P(0.05)。结论:电视腹腔镜下脑室腹腔分流术治疗脑积水并发症少,是一种安全有效、值得推广的治疗方法。
Objective ： To study the therapeutic effect of hydrocephalus with TV - laparoscope in contrast with routine ventricular - hepato - diaphramatic shut. Methods ：61 cases with hydrocephalus treated from June 2003 to march 2007 were retrospectively viewed ,laparoseope operation group 61 cases , 31 cases in routine operation group. Results ：The obstruction rate of shut tube was 6. 5% in laparoseope group and routine group was 29.0% （ P 〈 0.05 ）. The infection rate was respectively 4. 91% and 19.3% ,χ^2 test had no signifigant difference. The Karnofsky score mean was 70. 2±11.2 and56.3 ±10.2 （ P 〈 0.05 ）. Conclusions ：The ventrieular - hepato - diapltramatic shut with TV - laparoscope has rare complications and is a safe,effective,The method can be used widely for drocephalus.
出处
《赣南医学院学报》
2007年第6期911-912,共2页
JOURNAL OF GANNAN MEDICAL UNIVERSITY
关键词
脑积水
腹腔镜
分流术
hydrocephalus
laparoscope
ventrieular - hepato - iaphramatic shut
