| 神经内镜治疗梗阻性脑积水30例 |
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| 引用本文： | 陈淳,徐荣华,张杰,邓发斌,周宇,李元斌,刘跃辉,王益红.神经内镜治疗梗阻性脑积水30例[J].西部医学,2008,20(6):1212-1213. |
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| 作者姓名： | 陈淳 徐荣华 张杰 邓发斌 周宇 李元斌 刘跃辉 王益红 |
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| 作者单位： | 成都市第六人民医院,四川成都,610051 |
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| 基金项目： | 四川省卫生厅资助项目 |
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| 摘 要： | 目的探讨神经内镜在梗阻性脑积水治疗中的作用。方法采用德国蛇牌硬质神经内镜对30例患者行33次治疗，并经3～36个月随访，以对疗效进行评价。结果行第三脑室底造瘘术的20例患者中18例成功造瘘，2例三脑室底造瘘失败而改行内镜引导下V—P分流术，18例三脑室底造瘘患者15例效果满意，所有病例术后颅内高压疽状完全缓解，复查头部CT或MRI，扩大的脑室系统全部恢复正常，3例无效，改作内镜引导下的V—P分流术，疗效满意，对于丘脑肿瘤合并双侧室间孔堵塞性脑积水5例，在内镜下行透明中隔造瘘术，并同时行肿瘤部分切除活检＋V-P分流术，术后双侧脑室缩小，症状明显缓解。内镜下分流管取出调整术5例病人，术后患者脑室缩小，症状缓解。术后4例出现发热1～4天，无颅内感染发生。结论神经内镜治疗梗阻性脑积水是安全、经济、实用的微创手术方式，可推广应用。
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| 关 键 词： | 神经内镜 脑积水 第三脑室底造痿术 透明中隔造瘘术 |
Neuroendoscope for 30 patients with obstructive hydroceohalus |
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| CHEN Chun,XU Rong-hua,ZHANG Jie,et al.Neuroendoscope for 30 patients with obstructive hydroceohalus[J].Medical Journal of West China,2008,20(6):1212-1213. |
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| Authors: | CHEN Chun XU Rong-hua ZHANG Jie |
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| Institution: | CHEN Chun,XU Rong-hua,ZHANG Jie,et al(The Sixth Pople Hospital of Chengdu,Chengdu 610051,China) |
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| Abstract: | Objective To explore the value of endoscope for the obstructive hydroceohalus.Methods 30 patients were treated with snake rigid neuroendoscope and were followed up for 3-36 months.The clinical effect was analyzed.Result 18(90.9%) of 20 cases with the third ventriculostomy were successful and 2 cases were failed and then with endoscopic V-P shunt.) cases succed,12 failed and underwent.The effect of 15(83.3%) of 18 cases with third ventriculostomy were satisfactory.The symptoms of intracranial hypertension we... |
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| Keywords: | Neuroendoscope Hydroceohalus Third ventriculostomy |
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