内镜下第三脑室造瘘术治疗婴儿脑积水的疗效分析
The efficacy analysis of endoscopic third ventriculostomy in infantile hydrocephalus.
作者信息
He Zhenhua, An Caixia, Zhang Xinding, He Xiaodong, Li Qiang
机构信息
Department of Neurosurgery, Lanzhou University Second Hospital, Lanzhou, Gansu Province, China.
Department of Pediatrics, Lanzhou University First Hospital, Lanzhou, Gansu Province, China.
出版信息
J Korean Neurosurg Soc. 2015 Feb;57(2):119-22. doi: 10.3340/jkns.2015.57.2.119. Epub 2015 Feb 26.
OBJECTIVE
To investigate the efficacy of endoscopic third ventriculostomy (ETV) for infantile hydrocephalus.
METHODS
Retrospectively reviewed the 17 infantile hydrocephalus cases who were treated with ETV between July 2009 and June 2013. The study includes 17 patients (4 Han and 13 Hui) between the ages of 51 and 337 days. Five cases with encephalitis history and 2 cases with cerebral hemorrhage, with the remaining 10 cases congenital hydrocephalus. ETVs were performed for all patients with 1 case failing because the severe ventricle inflammatory adhesion, excessive exudation, and vague basilar artery.
RESULTS
Among the 16 successful cases 7 cases improved remarkably : heads and ventricles reduced and cerebral cortexes thickening morphologically. The ventricles of the remaining cases were unchanged.
CONCLUSION
The ethnic minority account for the majority of the patients in this study. ETV is effective for infantile obstructive hydrocephalus.
目的
探讨内镜下第三脑室造瘘术（ETV）治疗婴儿脑积水的疗效。
方法
回顾性分析2009年7月至2013年6月间接受ETV治疗的17例婴儿脑积水病例。该研究包括17例年龄在51至337天之间的患者（4例汉族和13例回族）。5例有脑炎病史，2例有脑出血史，其余10例为先天性脑积水。所有患者均接受了ETV治疗，1例因严重的脑室炎性粘连、渗出过多和基底动脉模糊而失败。
结果
16例成功病例中，7例显著改善：头部和脑室缩小，大脑皮层形态增厚。其余病例的脑室未发生变化。
结论
本研究中少数民族患者占大多数。ETV对婴儿梗阻性脑积水有效。
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