腹腔镜辅助脑室―腹腔分流术治疗脑积水的疗效观察.docVIP

腹腔镜辅助脑室―腹腔分流术治疗脑积水的疗效观察 　　[摘要] 目的 探讨腹腔镜辅助脑室- 腹腔分流术治疗脑积水的疗效。方法 整群选取该院于2013年1月―2015年12月收治的64例脑积水，34例患者行腹腔镜下脑室 -腹腔分流术，30例患者行常规开腹脑室 -腹腔分流术。术后对两组患者进行定期随访，并对比两组患者的治疗效果。对比腹腔镜组与常规组分流管腹腔端梗阻率和腹部感染率。 结果 治疗后常规组患者的平均Kamofsky 评分为（50.20±9.30）分，腹腔镜组评分为（71.40±14.10）分，两组比较，差异具有统计学意义（P 0.05）。腹腔镜组分流管腹腔端梗阻率和腹部感染率均明显低于对常规组，差异均有统计学意义（P0.05）。结论 腹腔镜辅助脑室- 腹腔分流术是临床治疗脑积水十分有效的措施，可明显改善脑积水患者Kamofsky 评分状况，且有助于减少分流管腹腔端梗阻率和腹部感染率。 　　[关键词] 脑积水；腹腔镜；脑室-腹腔分流术 　　[中图分类号] R4 [文献标识码] A [文章编号] 1674-0742（2016）06（c）-0067-03 　　[Abstract] Objective To investigate the curative effect of laparoscopic assisted ventriculoperitoneal shunt for hydrocephalus. Methods Group selection in our hospital in January 2013 to December 2015 in 64 cases of hydrocephalus， 34 cases underwent laparoscopic ventriculo peritoneal shunt， 30 patients for conventional open ventriculo peritoneal shunt. After the operation， two groups of patients were regularly followed up， and the treatment effect of the two groups were compared. The rate of abdominal obstruction and abdominal infection rate were compared between laparoscopic group and conventional group. Results After the treatment， the average Kamofsky score of the patients in the conventional group was （50.20±9.30）， the laparoscopic group was（71.40±14.10）， and the difference was statistically significant （P0.05）. In laparoscopic group， the rate of abdominal obstruction and abdominal infection rate were significantly lower than that of the conventional group， the difference was statistically significant（P0.05）.Conclusion laparoscopic under ventriculo peritoneal shunt for hydrocephalus clinical curative effect is remarkable， can improve the quality of life of patients， reducing shunt tube abdominal end obstruction rate and abdominal infection rate. 　　[Key words] Laparoscopy； Hydrocephalus； Ventriculoperitoneal shunt 　　脑积水是临床常见的颅脑疾病，伴随现代医学的快速发展，脑积水的临床诊断准确率亦在不断提高。目前X线片、二维超声、脑室造影，CT或MRI扫描等检查，均可对该病做出明确诊断。诱发脑积水的原因较多，如脑外伤、颅内炎症、缺氧、酸中毒，神经毒素作用和肝肾功能衰竭等。针对脑积水患者，应及时开展有效治疗，如病情延误，则可导致严重的临床后果，