摘要
目的总结神经内镜下手术治疗12例导水管水平梗阻性脑积水的初步体会。方法12例脑积水患者中导水管水平阻塞为原发性10例,继发于顶盖区肿瘤者2例。均采用神经内镜经侧脑室额角入路,经室间孔行三脑室底脚间池造瘘。结果12例患者造瘘术过程顺利,术中术后并发症少而轻,12例中术后3个月已随访的患者9例,7例有效,2例无效。结论神经内镜是治疗导水管梗阻性脑积水的有效手段,近期疗效满意。术中应针对三脑室底不同的特点采用适当的造瘘方法,随访应以确定颅内压是否正常、症状是否消失作为判断疗效的主要依据。
Objective To review our experience in the treatment of hydrocephalus caused by aqueduct obstruction with neu-roendoscopic third ventriculostomy. Method Of the 12 patients with hydrocephalus, 10 had primary aqueduct obstruction with the other 2 suffering the obstruction secondary to tectal tumors. In all the cases the neuroendoscope was advanced into the third ventricle via the frontal horn and foramen of Monro, followed by third ventriculostomy to achieve free communica-tion between the third ventricle and interpeduncular cistern. Results All the procedures were successful and smooth, with on-ly occasional mild intra- and post-operative complications. Nine of the 12 patients were followed up 3 months after the opera-tion, and 7 were found with good therapeutic effect while 2 failed to respond favorably. Conclusions Neuroendoscopic third ventriculostomy is effective for hydrocephalus due to aqueduct obstruction, and may yield satisfactory short-term results. Dif-ferent techniques of fenestration should be used to suit the individual-specific conditions of the third ventricle floor. In the fol-low-up of the patients, evaluation of the intracranial pressure and the patients' symptoms constitutes the main basis for assess-ment of the clinical results.
出处
《第一军医大学学报》
CSCD
北大核心
2004年第4期441-444,共4页
Journal of First Military Medical University
关键词
神经内镜
治疗
导水管
梗阻性脑积水
neuroendoscopy
third ventriculostomy
hydrocephalus
aqueduct obstruction
