内镜下导水管成形术和支架置入术。
Endoscopic aqueductoplasty and stenting.
机构信息
Department of Neurosurgery, Ernst Moritz Arndt Universität Greifswald, Greifswald, Germany.
出版信息
World Neurosurg. 2013 Feb;79(2 Suppl):S20.e15-8. doi: 10.1016/j.wneu.2012.02.013. Epub 2012 Feb 10.
OBJECTIVE
This paper discusses indications for and the technique of endoscopic aqueductoplasty with stenting.
METHODS
We review and summarize the clinical experience with endoscopic aqueductoplasty gained over the last 15 years on pediatric and adult patients.
RESULTS
Endoscopic aqueductoplasty with stenting presents a safe procedure. In well selected patients, it provides a long-term, stable clinical course. Aqueductoplasty alone has a high reclosure rate and should be avoided.
CONCLUSIONS
Aqueductoplasty with stenting is the procedure of choice for the treatment of isolated fourth ventricle. Membranous and tumor-related aqueductal stenosis should be treated by endoscopic third ventriculostomy.
目的
本文探讨了内镜导水管成形术并支架置入的适应证和技术。
方法
我们回顾和总结了过去 15 年来在儿科和成人患者中进行内镜导水管成形术的临床经验。
结果
内镜导水管成形术并支架置入是一种安全的手术。在选择合适的患者中，它提供了长期、稳定的临床效果。单纯的导水管成形术再狭窄率较高，应避免使用。
结论
内镜导水管成形术并支架置入是治疗孤立性第四脑室的首选方法。膜性和肿瘤相关的导水管狭窄应通过内镜第三脑室造瘘术进行治疗。
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