神经内镜手术治疗儿童复杂性分隔性脑积水的疗效
Effectiveness of neuroendoscopic procedures in the treatment of complex compartmentalized hydrocephalus in children.
作者信息
Nowosławska Emilia, Polis Lech, Kaniewska Danuta, Mikołajczyk Wanda, Krawczyk Jacek, Szymański Wojciech, Zakrzewski Krzysztof, Podciechowska Joanna
机构信息
Department of Neurosurgery, Research Institute of Polish Mother's Memorial Hospital, 281/289 Rzgowska Street, 93-338 Łódź, Poland.
出版信息
Childs Nerv Syst. 2003 Sep;19(9):659-65. doi: 10.1007/s00381-003-0758-5. Epub 2003 Jun 13.
OBJECTIVE
The main object of the work is to assess the suitability of neuroendoscopic techniques for the treatment of complex compartmentalized hydrocephalus.
METHODS
For this purpose the authors compared two groups of children treated in the Research Institute of the Polish Mother's Memorial Hospital from March 1997 to January 2002. The first group of 47 children, treated using neuroendoscopic procedures, was compared with the second, which comprised 80 children treated conventionally by complicated shunt implantations.
RESULTS
The children treated neuroendoscopically needed on average 1.7660 procedures during the entire therapy, and 1.0232 operations a year. The same parameters in the conventionally-treated group were as follows: the total number of procedures was 7.050, and the rate of reoperation was 3.949 procedures a year. The proportion of patients who suffered from complications connected with operative treatment and who had a bad outcome was higher in the conventionally-treated group than in the neuroendoscopic one.
目的
本研究的主要目的是评估神经内镜技术治疗复杂分隔性脑积水的适用性。
方法
为此，作者比较了1997年3月至2002年1月在波兰母亲纪念医院研究所接受治疗的两组儿童。第一组47名儿童采用神经内镜手术治疗，与第二组80名采用复杂分流植入术传统治疗的儿童进行比较。
结果
接受神经内镜治疗的儿童在整个治疗过程中平均需要1.7660次手术，每年需要1.0232次手术。传统治疗组的相同参数如下：手术总数为7.050次，再次手术率为每年3.949次。传统治疗组中与手术治疗相关的并发症患者比例及预后不良患者比例高于神经内镜治疗组。
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