腹腔镜下侧脑室-腹腔分流术治疗脑积水86例临床分析．

目的：探讨腹腔镜下行侧脑室一腹腔分流术对脑积水患者的临床效用价值。方法：选取本院2010年4月-2011年10月行腹腔镜下侧脑室一腹腔分流术的86例脑积水患者作为腹腔镜组，同时取同期的行开腹手术的72例脑积水患者为常规手术组进行对比研究。统计分析两组患者腹部手术时间、排气天数、术后并发症发生质量，并对两组患者的远期生活质量进行评分（Kamofasy评分）。结果：腹腔镜组患者平均腹部手术时间和排气时间均明显短于常规手术组，并发症发生率也明显低于常规手术组，比较差异均有统计学意义（P〈0．05）；随访5个月后对其生活质量进行评分，结果显示腹腔镜组患者的远期生活质量明显高于常规手术组，差异有统计学意义（P〈0．05）。结论：腹腔镜下行侧脑室一腹腔分流术不仅术后并发症少，而且对患者远期生活质量有着良好的改善作用，是神经外科治疗脑积水的有效方法，临床上值得推广。

The Clinical Analysis of 86 Cases of Laparoscopic Lateral Ventricle-the Shunt in the Treatment of Hydrocephalus

Objective： To explore the value of the clinical application for 86 cases of laparoscopic lateral ventricle-the shunt in the treatment of hydrocephalus.Method： Eighty-six hydrocephalus patients were selected in our hospital from April 2010 to October 2001 in laparescopic lower ventrieulo peritoneal shunt as the laparoscopic group, 72 eases hydrocephalus patients at the same time were taken＇for comparison and research over the same period underwent open operation as the conventional surgery group.The abdominal surgery time, exhaust days, and the incidence of postoperative complications quality were taken for statistical analysis.The long-term quality of life for the two groups was taken for score （ Karnofasy ratings ） .Result： The average abdominal surgery time and exhaust time of the laparoscopic group of patients were significantly shorter than the conventional surgery group, the incidence of complications was significantly lower than the conventional surgery group, the differences were statistically significant （ P〈O.05 ） .The quality of life score ~ve months after follow-up was taken for score, the results showed that with the long-term quality of life in laparoscopie group was better than the conventional surgery group, the difference was statistically significant （ P〈0.05 ） .Conclusion： Laparoscopie lateral ventricle-peritoneal shunt is not only with fewer complications, and has a good improvement for the quality life of patients with long-term.It is an effective method of treatment of hydrocephalus in neuresurgery, and it is worthy of clinical promotion.