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神经内镜治疗导水管梗阻性脑积水12例临床经验

, PP. 441-444

Keywords: 神经内镜,三脑室底造瘘术,脑积水,导水管,阻塞

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Abstract:

目的总结神经内镜下手术治疗12例导水管水平梗阻性脑积水的初步体会。方法12例脑积水患者中导水管水平阻塞为原发性10例,继发于顶盖区肿瘤者2例。均采用神经内镜经侧脑室额角入路,经室间孔行三脑室底脚间池造瘘。结果12例患者造瘘术过程顺利,术中术后并发症少而轻,12例中术后3个月已随访的患者9例,7例有效,2例无效。结论神经内镜是治疗导水管梗阻性脑积水的有效手段,近期疗效满意。术中应针对三脑室底不同的特点采用适当的造瘘方法,随访应以确定颅内压是否正常、症状是否消失作为判断疗效的主要依据。

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