摘要
目的观察脑室镜联合腹腔镜辅助下脑室-腹腔分流术治疗脑积水的临床效果。方法2016年2月~2021年5月收治的脑积水病人72例,根据治疗方法不同分为两组,观察组42例,行脑室镜联合腹腔镜辅助脑室-腹腔分流术,对照组30例,行传统常规脑室腹腔分流术,比较两组病人治疗效果。结果观察组手术时间(57.32±5.61)分钟,出血量(40.52±3.58)ml,通气时间(1.51±0.42)天,术后住院时间(7.83±0.58)天,对照组分别为(70.58±8.42)分钟、(50.38±5.53)ml、(2.93±0.83)天、(8.95±0.67)天,两组比较差异有统计学意义(P<0.05);观察组术后1周并发症总发生率为2.38,对照组为26.67%,两组比较差异有统计学意义(P<0.05);术后随访1年,两组病人分流失败发生率分别为13.33%和9.52%,差异无统计学意义(P>0.05)。结论脑室镜联合腹腔镜辅助下脑室-腹腔分流术治疗脑积水,并发症少,手术微创,安全。
Objective To observe the clinical effect of ventriculoscopy combined with laparoscopy-assisted ventriculo-peritoneal shunt in the treatment of hydrocephalus.Methods A total of 72 patients with hydrocephalus admitted from February 2016 to May 2021 were divided into two groups according to different treatment methods.42 patients who underwent ventriculoscopy combined with laparoscopic assisted ventriculoperitoneal shunt in our hospital were used as the observation group and 30 patients who underwent traditional operation were used as the control group.The therapeutic effects of the two groups were evaluated and compared.Results The operation time(57.32±5.61)min,blood loss(40.52±3.58)ml,ventilation time(1.51±0.42)d and postoperative hospital stay(7.83±0.58)d in the observation group were less than those in the control group[(70.58±8.42)min,(50.38±5.53)ml,(2.93±0.83)d,(8.95±0.67)d,P<0.05].The total incidence of adverse complications in the observation group(2.38%)was lower than that in the control group(26.67%)(P<0.05).After one year of follow-up,the incidence of shunt failure in the two groups was compared(13.33%,9.52%).The difference was not statistically significant(P>0.05).Conclusion Ventriculoscopy combined with laparoscopy assisted ventriculoperitoneal shunt in the treatment of hydrocephalus has less complications,minimally invasive and safe.
作者
张杰
夏勋
张列
王恩任
ZHANG Jie;XIA Xun;ZHANG Lie(Department of Neurosurgery,the First Affiliated Hospital of Chengdu Medical College,Chengdu,610503 China)
出处
《临床外科杂志》
2022年第10期941-943,共3页
Journal of Clinical Surgery
关键词
脑积水
分流术
脑室镜
腹腔镜
并发症
hydrocephalus
shunt
ventriculoscopy
laparoscopy
complications
