You Position: Home > Paper
Endoscopic third ventriculostomy in treating children hydrocephalus
( views:245, downloads:209 )
- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF NEUROSURGERY
- Issue:
- 9
- DOI:
- 10.3760/j.issn:1001-2346.2006.09.002
- Key Word:
- 儿童脑积水;神经内镜;三脑室底造瘘术;微创手术
Abstract： 目的 分析本组49例病例,就手术病种和年龄的选择、手术方法及技巧做一介绍.方法 全组49例,年龄1个月～18岁,平均33个月.CT、MRI及99Tcm-DTPA证实为脑脊液吸收功能正常的阻塞性脑积水.手术方法为经侧脑室、室间孔、三脑室置入神经内镜,于三脑室底与脚间池造一瘘孔.结果 术后随访半年-5年,39例有好转;10例因无改善于术后3个月再行脑室腹腔分流手术,术后脑脊液漏3例,未有出血、感染及神经功能损伤等并发症.结论 脑室镜三脑室底脚间池造瘘适用于脑脊液吸收功能正常的阻塞性脑积水.脑脊液吸收功能判断需靠同位素99Tcm-DTPA检查.继发性脑积水治疗效果好于原发性脑积水,大龄儿童效果好于婴幼儿.
- [1]孙金龙,张庆林,王志刚,等.脑室镜或脑室镜-腹腔镜联合应用治疗脑积水[J].2005,(8).
- [2]张亚卓,王忠诚,高鲜红,等.神经内窥镜技术的临床应用[J].2000,(1).
- [3]Koch D,Wagner W.Endoscopic third ventriculostomy in infants of less than 1 year of age: which factors influence the outcome?[J].2004,20(6).
- [4]Ankermann T,Kienke S,Mehdorn HM,etc.Endoscopic third ventriculostomy in infants.[J].2005,103(1 Suppl.).
- [5]Oi S,Constantini S,Golash A,etc.Endoscopic third ventriculostomy in patients with cerebrospinal fluid infection and/or hemorrhage.[J].2002,97(3).
- [6]Vorster SJ,Luciano MG,Fukuhara T.Risk factors for failure of endoscopic third ventriculostomy for obstructive hydrocephalus.[J].2000,46(5).
- [7]Wagner W,Koch D.Mechanisms of failure after endoscopic third ventriculostomy in young infants.[J].2005,103(1 Suppl.).
- [8]Resch KD,Perneczky A,Hopf NJ,etc.Endoscopic third ventriculostomy: outcome analysis of 100 consecutive procedures.[J].1999,44(4).