内镜下第三脑室造瘘术治疗妊娠期梗阻性脑积水。
Endoscopic third ventriculostomy for the treatment of obstructive hydrocephalus during pregnancy.
作者信息
Riffaud Laurent, Ferre Jean-Christophe, Carsin-Nicol Béatrice, Morandi Xavier
机构信息
Department of Neurosurgery, Pontchaillou University Hospital, Rennes, France.
出版信息
Obstet Gynecol. 2006 Sep;108(3 Pt 2):801-4. doi: 10.1097/01.AOG.0000214676.16825.85.
BACKGROUND
Endoscopic third ventriculostomy is an effective procedure for treating obstructive (noncommunicating) hydrocephalus as an alternative to ventricular shunt placement.
CASE
Five pregnant women undergoing endoscopic third ventriculostomy as treatment for newly diagnosed acute obstructive hydrocephalus (n=2) or in cases of malfunction of a preexisting ventriculoperitoneal shunt (n=3) are presented.
CONCLUSION
Endoscopic third ventriculostomy may be preferred to ventricular shunt placement as the initial mode of treatment for pregnant patients with newly diagnosed obstructive hydrocephalus as well as in cases of malfunction of a preexisting shunt.
背景
内镜下第三脑室造瘘术是治疗梗阻性（非交通性）脑积水的一种有效方法，可替代脑室分流术。
病例
本文介绍了5例接受内镜下第三脑室造瘘术的孕妇，其中2例为新诊断的急性梗阻性脑积水，3例为既往脑室腹腔分流术出现故障。
结论
对于新诊断为梗阻性脑积水的孕妇以及既往分流术出现故障的情况，内镜下第三脑室造瘘术可能比脑室分流术更适合作为初始治疗方式。
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