第三脑室底造瘘治疗脑积水的手术并发症

目的 探讨第三脑室底造瘘治疗脑积水产生手术并发症的原因及预防措施。方法 对13例（15例次）行第三脑室底造瘘术治疗脑积水出现并发症的情况进行回顾性分析。结果 本组患者出现脑室内感染2例、膜膜下积液1例、造瘘口再堵塞1例、术中出血后的血凝块堵塞第三脑室形成脑疝1例。并发症的主要原因为手术设备的不良和先期经验的不足。结论 采用良好的手术设备，提高对各种并发症发生原因的不足，可减少手术并发症的发生。

Complications of third ventriculostomy for hydrocephalus

Objective To explore the reason of complications of third ventriculostomy and the method for reducing complications. Methods Fifteen third ventriculostomies and the related complications were analyzed retrospectively. Results Two patients had ventricular infection, one subdural fluid collection, one obstraction of fenestration site by neoplasm, one delayed herniation due to hematoma occupied third ventricle. The complications were due to the inferior quality of the equipment and poor experience. Conclusions Advanced equipment and understanding of possible complications can reduce complications.