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脑积水治疗的争议 - 分流术与内镜第三脑室造瘘术。

Controversy about Management of Hydrocephalus - Shunt vs. Endoscopic Third Ventriculostomy.

机构信息

Department of Neurosurgery, G. B. Pant Institute of Postgraduate Medical Education and Research, New Delhi, 110002, India.

出版信息

Indian J Pediatr. 2017 Aug;84(8):624-628. doi: 10.1007/s12098-017-2338-9. Epub 2017 Apr 12.

DOI:10.1007/s12098-017-2338-9
PMID:28401404
Abstract

The best management of hydrocephalus is still controversial in the twenty-first century. Shunt treatment for hydrocephalus is the most common procedure performed in neurosurgical practice and is associated with the highest complications rate. But during the last 2 decades, the treatment of hydrocephalus has improved with better shunt devices available today, increased facilities for investigations and newer approaches like endoscopic third ventriculostomy. The recent advances in development of better endoscopes have provided the patient and treating doctor with an option for an alternative surgery for treatment of hydrocephalus.

摘要

在二十一世纪,脑积水的最佳治疗仍存在争议。脑积水的分流治疗是神经外科实践中最常见的手术,其相关并发症发生率也最高。但在过去的 20 年里,随着更好的分流装置的出现,脑积水的治疗得到了改善,检查设施也有所增加,新的治疗方法如内镜第三脑室造瘘术也得到了应用。最近在开发更好的内镜方面的进展为患者和治疗医生提供了一种替代手术治疗脑积水的选择。

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本文引用的文献

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Transanal protrusion of ventriculoperitoneal shunt via appendicular perforation: A rare case report.经阑尾穿孔的脑室腹腔分流管经肛门突出:一例罕见病例报告。
J Pediatr Neurosci. 2016 Jul-Sep;11(3):274-276. doi: 10.4103/1817-1745.193383.
2
Role of endoscopic third ventriculostomy in tuberculous meningitis with hydrocephalus.内镜下第三脑室造瘘术在结核性脑膜炎合并脑积水治疗中的作用。
Asian J Neurosurg. 2016 Oct-Dec;11(4):325-329. doi: 10.4103/1793-5482.145100.
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Ventriculoperitoneal shunt tube infection and changing pattern of antibiotic sensitivity in neurosurgery practice: Alarming trends.
脑积水的脑室腹腔分流术:常见神经外科手术之一及其相关问题
Cureus. 2023 Feb 15;15(2):e35002. doi: 10.7759/cureus.35002. eCollection 2023 Feb.
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[Placement of ventricle peritoneal shunt in the adult patient. A new protocol].[成人患者脑室腹腔分流术的放置。一种新方案]
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Recent Advances and Controversies in Pediatric Surgery.小儿外科的最新进展与争议
Indian J Pediatr. 2017 Jul;84(7):529-530. doi: 10.1007/s12098-017-2361-x. Epub 2017 Jun 14.
脑室腹腔分流管感染和神经外科实践中抗生素敏感性变化模式:令人担忧的趋势。
Neurol India. 2016 Jul-Aug;64(4):671-6. doi: 10.4103/0028-3886.185408.
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Neurol India. 2013 May-Jun;61(3):217-25. doi: 10.4103/0028-3886.115051.
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Neurol India. 2011 Nov-Dec;59(6):848-54. doi: 10.4103/0028-3886.91364.
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Minim Invasive Neurosurg. 2010 Aug;53(4):159-63. doi: 10.1055/s-0030-1268415. Epub 2010 Dec 3.