摘要
目的探讨腹腔镜辅助下腰大池-腹腔分流术治疗交通性脑积水的临床效果。方法选取该院2013年1月—2015年4月收治的72例交通性脑积水患者为研究对象,采用随机数表法将患者分为观察组与对照组,每组36例。观察组行腹腔镜辅助下腰大池-腹腔分流术,对照组行常规腰大池-腹腔分流术。比较两组治疗效果及手术并发症发生情况。结果术后1周,两组GCS评分均较术前显著提高,但组间比较差异无统计学意义(P>0.05),术后6个月,观察组收缩期脑脊液峰流速为(4.13±1.76)cm/s,显著高于对照组(P<0.05),观察组术后腹腔粘连、腹腔感染、分流管堵塞发生率分别为2.78%、0.00%、0.00%,均显著低于对照组(P<0.05),随访6个月期间,两组脑部CT改善率及临床症状改善率比较差异均无统计学意义(P>0.05)。结论腹腔镜辅助下腰大池-腹腔分流术治疗交通性脑积水效果显著,且术后并发症较少,远期随访效果确切,值得在临床推广。
Objective To investigate the clinical effect oflumboperitoneal shunt assisted with laparoscopefor communicating hydrocephalus. Methods From January 2013 to April 2015, a total of 72 patients with communicating hydrocephalus in our hospital were taken as the clinical research objects, and they were randomly divided intoobservation group(36 cases)and control group(36 cases). Patients in the control group were treated with conventional lumboperitoneal shunt, and the other patients in the observation group were treated with lumboperitoneal shunt assisted with laparoscope in order to compare their clinical effects and complications. Results 1 week after treatment, their GCS scores were significantly higher than those before surgery, but there was no statistical significance in these two groups(P >0.05); 6 months after treatment, the peak systolic velocity of cerebrospinal fluid in the observation group was(4.13 ±1.76)cm/s which was significantly higher than that in the control group; the incidences of abdominal adhesion, abdominal infection and shunt pipe plugging in the observation group were respectively 2.78%, 0.00% and 0.00% which were significantly lower than those in the control group(P<0.05);in the follow-up period(6 months),there was no statistical significance in improvement rates of cerebral CT and clinical symptomsin these two groups(P>0.05). Conclusion Lumboperitoneal shunt assisted with laparoscope whose clinical effect is remarkable in the treatment of patients with communicating hydrocephalus has less postoperative complications and excellent effectof long term follow-up.
出处
《系统医学》
2016年第12期58-60,共3页
Systems Medicine
