Griffith H B, Jamjoom A B
Department of Neurological Surgery, Frenchay Hospital, Bristol, United Kingdom.
Br J Neurosurg. 1990;4(2):95-100. doi: 10.3109/02688699008992706.
The authors report their experience in the treatment of childhood hydrocephalus by endoscopic choroid plexus coagulation and post-operative ventricular perfusion with artificial CSF. The procedure was carried out on 23 children without mortality. In 12 cases (52%) the procedure was successful in controlling the hydrocephalus. The average follow-up was 2.3 years. Eleven cases (48%) required shunting which was done from 1 week to 13 months following the choroid plexus coagulation. As cure of the hydrocephalus was achieved in over half of the patients, the authors recommend the procedure as a first line treatment for childhood hydrocephalus.
作者报告了他们采用内镜下脉络丛凝固术及术后用人工脑脊液进行脑室灌注治疗儿童脑积水的经验。该手术在23名儿童中实施,无死亡病例。12例(52%)手术成功控制了脑积水。平均随访时间为2.3年。11例(48%)需要分流,在脉络丛凝固术后1周至13个月进行。由于超过半数的患者脑积水得到治愈,作者推荐该手术作为儿童脑积水的一线治疗方法。