腹腔镜辅助下脑室腹腔分流术治疗脑积水的临床研究

目的比较腹腔镜辅助下脑室-腹腔(V-P)分流术与传统的V-P分流术的手术操作时间和手术疗效。方法回顾性分析该院2008年10月至2011年3月收治的脑积水患者60例的临床资料。结果腹腔镜手术组平均手术时间(52min)低于常规手术组(109min),差异有统计学意义(P<0.05);腹腔镜手术组发生分流管阻塞、感染和腹腔脏器损伤分别为2、0、0例,低于常规手术组(6、1、1例),差异有统计学意义(P<0.05)。结论与传统剖腹V-P分流术比较腹腔镜引导下V-P分流术可精确定位导管位置,有效防止并发症的发生,是一种快速、安全的方法。

Clinical research of laparoscope-assisted ventriculoperitioneal shunt for treating hydrocephalus

Objective To compare the operation time and the clinical effect between laparoscope-assisted ventriculoperitoneal(V-P)shunt and conventional laparotomy ventaculoperitoneal shunt.Methods The clinical data of 60 cases of hydrocephalus treated in our hospital from October 2008 to March 2011 were retrospectively analyzed and divided into two groups:laparoscope-assisted operation group(36 cases)and laparotomy group(24 cases).Results The mean procedure duration(52 min)in the laparoscope-assisted group was significantly shorter than 109 min in the conventional laparotomy group.2 cases in the laparoscope-assisted group and 6 cases in the laparotomy group had shunt blockage.There was 1 cases of infection and 1 cases of internal organ injury in the laparotomy group,but no cases in the laparoscope-assisted group,showing statistical difference between the two groups(P<0.05).Conclusion Compared with the conventional laparotomy V-P shunt,laparoscopically guided insertions of distal shunt catheter allows the exact localization of peritoneal catheter and effectively prevents the occurrence of complications,which is considered a fast and safe method.