神经内窥镜在脑积水治疗中的应用

目的 :探讨神经内窥镜手术在脑积水治疗中的临床应用价值。方法 :应用神经内窥镜手术 15例 ,包括梗阻性脑积水三脑室底造瘘 7例、交通性脑积水脉络丛灼烧 4例 ,不对称性脑积水透明隔造瘘 4例。结果 :术后 2～ 15个月 ,根据病人临床症状改善情况和影像学CT或MRI复查结果评定手术效果 ,有效 14例 ( 93 % ) ,术后无昏迷、颅神经损伤、颅内感染、颅内出血等严重并发症。结论 :神经内窥镜手术在脑积水的治疗方面安全、有效、微创 ,可作为首选治疗方法

Application of neuroendoscopic in treatment of hydrocephalus

Objective: To assess the clinical application value of neueoendoscopic operations in the treatment of hydrocephalus.Methods: 15 patients were treated with neuoendoscopic operations.7 patients had occlusive hydrocephalus with endoscopic third ventriculostomy,4 interpenetration hydrocephalus with cauterization of choroid plexus.4 unilateral hydrocephalus with septum pellucidum fenestration.Results: Postoperative 2 15 months,depending on the clinical presenting symptoms and the radiological appearance CT or MRI of patients evaluate the efficacy of neueoendoscopic operations,the effective rate was 93%(14 patients).There were no serious complications,such as coma,nerve encephalic damnification,intracranial hemorrhage and infection.Conclusion: This method is a safe effection minimally invasive operation.Neueoendoscopic operations shoud be considered as aprimary treatment for hydrocephalus.