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内镜下行第三脑室底造瘘术治疗脑室炎后慢性脑积水
引用本文:宗绪毅,张之营,李储忠,赵澎,桂松柏,王新生,张亚卓. 内镜下行第三脑室底造瘘术治疗脑室炎后慢性脑积水[J]. 中华神经外科杂志, 2009, 25(7). DOI: 10.3760/cma.j.issn.1001-2346.2009.07.003
作者姓名:宗绪毅  张之营  李储忠  赵澎  桂松柏  王新生  张亚卓
作者单位:1. 首都医科大学附属北京天坛医院神经外科,100050
2. 山东省德州市人民医院神经外科
3. 北京市神经外科研究所
摘    要:
目的 探讨应用神经内镜在治疗慢性复杂脑积水的效果.方法 回顾性分析了15例用神经内镜行第三脑底造瘘术并脑室冲洗治疗的慢性复杂脑积水的病人资料.结果 15病人获得良好的效果,无并发症发生,1例病人术后15 d,脑积水复发,冉次行第三脑底造瘘时发现造瘘口闭合,二次造瘘后恢复良好.结论 神经内镜行第三脑底造瘘术并脑室冲洗治疗慢性复杂脑积水的病人有确实效果.

关 键 词:内镜  脑积水  第三脑室

Endoscopic third ventriculostomy in treatment of chronic complicated hydrocephalus
ZONG Xu-yi,ZHANG Zhi-ying,LI Chu-zhong,ZHAO Peng,GUI Song-bai,WANG Xin-sheng,ZHANG Ya-zhuo. Endoscopic third ventriculostomy in treatment of chronic complicated hydrocephalus[J]. Chinese Journal of Neurosurgery, 2009, 25(7). DOI: 10.3760/cma.j.issn.1001-2346.2009.07.003
Authors:ZONG Xu-yi  ZHANG Zhi-ying  LI Chu-zhong  ZHAO Peng  GUI Song-bai  WANG Xin-sheng  ZHANG Ya-zhuo
Abstract:
Objective To explore the effects of endoscopic third ventricuiostomy in treatment of chronic complicated hydrocephalus. Method The clinical data of 15 cases of chronic complicated hydroephalus with endoscopic third ventriculostomy were analyzed retrospectively. Results Satisfying post -operative results were obtained in 15 cases. No complications occurred. One patient suffered recurrent hydrocephalus after first operation and underwent second third ventriculostomy. During operation orificium fistuloe was closed and patient recurred well after operation. Conclusions Endoscopic third ventriculostomy is reliable and effective in treatment of chronic complicated hydrocephalus.
Keywords:Endoscopes  Hydrocephalus  Third ventricle
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