返回 2007年第30卷第5期 目录

腹腔镜在脑室腹腔分流术中的应用

刘 阳，杨福兵，陈礼刚，蒋正方1，王冬梅1

（泸州医学院附属医院神经外科，四川泸州 646000；1绵阳第三人民医院神经外科）

摘 要 目的：总结腹腔镜下侧脑室-肝膈间隙分流术与常规侧脑室-腹腔分流术的疗效对比。方法：回顾性分析2000年12月至2006年12月收治的82例脑积水患者，腹腔镜治疗组45例，常规手术组37例。结果：腹腔镜组分流管腹腔端梗阻发生率为11.11%，常规手术组梗阻发生率为32.43%(χ2=5.61,P<0.05)；术后感染率分别为2.7%和5.4%(χ2=0.03,P>0.05)。Karnofsky评分，腹腔镜治疗组68.6±10.9，常规手术组58.1±10.1(t=4.49 ,P<0.05)。结论：腹腔镜下侧脑室肝膈间隙分流术治疗脑积水比常规手术并发症少，是一种安全有效的治疗方法。

关键词 脑积水；腹腔镜；脑室腹腔分流术

 

APPLICATION OF LAPAROS COPE IN TREATMENT OF HYDROCEPHALUS BY VENTRICULO-HEPATO -DIAPHRAGMATIC SHUNT

Liu Yang,et al

Dpartment of Neurosurgery,The Affiliated Hospital of Luzhou Medical College

Abstract Objective：To summarize the therapeutic effect of Ventriculo-hepato-diaphagmatic shunt under laparoscope in contrast with routine Ventriculo-peritoneal shunt in hydrocephalus．Methods：Eighty two cases of hydrocephalus hospitalized from December 2000 to December 2006 were retrospectively analyzed:45 cases in laparoscope operation group，37 cases in routine operation group．Results：The obstruction rate of shunt tube end was 11.11% in laparoscope group, while in routine group it was 32.43%(χ2=5.61,P<0.05);the infection rate was 2.7% and5.4% respectively(χ2=0.03,P>0.05)．The Karnofsky score was 68.6±10.9 and 58.1±10.1(t=4.49,P<0.05) respectively．Conclusion:Comparing with routine surgery, the Ventricular-hepato-diaphragmatic shunt with laparoscope has rare complications.It is a safe，effective method for hydrocephalus．

Key words Hydrocephalus;Laparoscope; Ventriculo-peritoneal shunt