脑室镜腹腔镜综合辅助脑室腹腔分流术治疗脑积水临床分析
冯斌,蔡明,孙印臣,李志波,朱红玉,韩树生,袁进国,曹臧柱,刘福增
摘要(Abstract)：
目的探讨在腹腔镜、脑室镜综合辅助下对脑积水进行脑室腹腔分流术在减少术后并发症方面有何优势,并与脑室镜辅助下进行、腹腔镜辅助下进行和传统手术相比。方法对2003-01~2009-05 383例脑室腹腔分流术进行回顾性分析,所有病例均用分流管,其中67例在腹腔镜、脑室镜铺助下进行,98例在腹腔镜辅助下进行,87例在脑室镜辅助下进行,131例为常规手术治疗。并对所有患者进行1~2 a的随访,观察术后分流管堵塞率,术后感染发生率。结果腹腔镜+腹腔镜组感染率4.5%,脑室镜组感染率4.6%,腹腔镜组感染率4.1%,传统手术组感染率4.6%,4组比较差异无统计学意义(P>0.05)。分流管梗阻率腹腔镜+腹腔镜组1.4%,脑室镜组5.1%,腹腔镜组3.4%,传统手术组16.0%,4组比较差异有统计学意义(P<0.05)。结论在腹腔镜、脑室镜综合辅助下对脑积水进行脑室腹腔分流术安全可靠,与常规乎术相比降低了分流管梗阻的发生率,从而改善预后且延长分流管有效作用时间。
关键词(KeyWords)： 脑积水;脑室镜;腹腔镜;分流术
基金项目(Foundation):
作者(Author): 冯斌,蔡明,孙印臣,李志波,朱红玉,韩树生,袁进国,曹臧柱,刘福增
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