摘要
目的探讨腹腔镜下脑室-腹腔分流术治疗小儿脑积水的临床效果。方法回顾性分析我院神经外科2012-03—2013-04收治的68例脑积水患儿的临床资料,根据手术方式分为实验组(37例)和对照组(31例),实验组行腹腔镜下脑室-腹腔分流术,对照组采用传统脑室-腹腔分流术。观察2组患者手术情况及术后随访情况。结果对照组手术时间、术后排气时间均明显长于实验组(P<0.05);2组手术前后双侧脑室额角差值差异无统计学意义(P>0.05);术后3个月2组总有效率差异无统计学意义(P>0.05);2组Kamofsky评分同期比较差异无统计学意义(P>0.05),2组术后Kamofsky评分较术前显著升高(P<0.05);术后对照组分流管梗阻(22.58%)、腹腔感染(19.36%)发生率均显著高于实验组(5.14%、2.70%,P<0.05)。结论腹腔镜下脑室-腹腔分流术治疗小儿脑积水具有手术过程短、患者恢复快、术后并发症少等优点,且疗效可靠,值得临床推广。
Objective To explore the clinical effect of ventriculo-peritoneal shunt for hydrocephalus in children under lapa-roscopy. Methods A retrospective analysis of the clinical data of 68 cases of hydrocephalus in children in our hospital from 2012 March to 2013 April in neurosurgery department was made. The patients were divided into experimental group （37 cases） and control group （31 cases） according to the operation mode ,the experimental group underwent laparoscopic ventriculo-peri-toneal shunt ,the control group applied traditional ventriculo-peritoneal shunt. The operation and follow-up post-operation were observed. Results The operation time ,postoperative exhaust time in control group were significantly longer than the experi-ment group （P〈0.05）;The bilateral ventricle frontal difference before and after the operation in the two groups had no statis-tical significance （P〉0.05）. After 3 months ,the total efficiency of two groups had no significant difference （P〉0.05）;Ka-mofsky scores in the two groups had no statistically significant differences in the same period （P〉0.05）;Kamofsky scores in-creased significantly in the two groups post-operation compared with preoperative （P〈0.05）;The shunt tube obstruction ,ab-dominal cavity infection rates of control group were significantly higher than those of experimental group （P〈0.05）. Conclu-sion Laparoscopic ventriculo-peritoneal shunt for hydrocephalus in children has the advantages of short operation process ,patients recovering quicker and less postoperative complications ,and the curative effect is reliable ,which is worthy of clinical application.
出处
《中国实用神经疾病杂志》
2014年第19期33-35,共3页
Chinese Journal of Practical Nervous Diseases
关键词
脑积水
腹腔镜
脑室-腹腔分流术
Hydrocephalus
Laparoscopic
Ventriculo peritoneal shunt
