Feng Zhiqiang, Li Qiuping, Gu JianJun, Shen Wenjun
Department of Pediatric Neurosurgery, Taian Maternal and Child Health Hospital, Shandong, China.
Department of Neurosurgery, Zhongshan Hospital of Fudan University, Shanghai, China.
Pediatr Neurosurg. 2018;53(6):367-370. doi: 10.1159/000491638. Epub 2018 Aug 15.
Endoscopic third ventriculostomy (ETV) provides a physiological restoration of cerebrospinal fluid and a shunt-free option for hydrocephalus children. Continuous developments in techniques and instruments have improved ETV as the first-line treatment. This paper focuses on the recent advances in surgical techniques, instruments, predictive models, imaging tools, and new cohort studies. The efficacy, safety, indications, and remaining challenges of ETV are discussed. More patients undergo ETV with a better outcome, identifying a new era of hydrocephalus treatment. Deeper understanding of ETV will improve a better shunt-free survival for pediatric hydrocephalus patients.
内镜下第三脑室造瘘术（ETV）为脑积水患儿提供了脑脊液的生理性恢复以及无分流的治疗选择。技术和器械的不断发展使ETV作为一线治疗方法得到了改进。本文重点关注手术技术、器械、预测模型、成像工具和新队列研究的最新进展。讨论了ETV的疗效、安全性、适应证和尚存的挑战。越来越多的患者接受ETV治疗并取得了更好的效果，标志着脑积水治疗进入了一个新时代。对ETV更深入的理解将为小儿脑积水患者带来更好的无分流生存。
