Armas-Melián Kevin, Ros Bienvenido, Gómez-Barreno Lenin, Iglesias Sara, Arráez Miguel Ángel
Neurosurgery Department, Complejo Hospitalario Insular Materno Infantil, Las Palmas de Gran Canaria, Spain.
Neurosurgery Department, Hospital Regional Universitario de Málaga, Málaga, Spain.
Childs Nerv Syst. 2023 Jan;39(1):197-203. doi: 10.1007/s00381-022-05690-6. Epub 2022 Sep 26.
This study describes the results of septostomy (SPT) in terms of success and analysis of follow-up in a series of pediatric patients diagnosed with unilateral ventricular hydrocephalus (UHV) and biventricular hydrocephalus (BVH).
A total of 29 pediatric patients diagnosed with UVH or BVH were included in this study. In UVH, a neuroendoscopic SPT was performed (sometimes accompanied by NEFPFMO). In those diagnosed with BVH, an SPT combined with VPS was carried out. Demographic, etiological, clinical, and diagnostic variables and percentage of treatment success were collected.
SPT was successful during follow-up when no VPS was required in UVH and only unilateral VPS was implanted in BVH. At the time of surgery, 16 patients needed a ventriculoperitoneal shunt. The first SPT was successful in 22 patients, requiring a second surgery in 7 patients, from the oncology group diagnosed with BHV.
The surgical management of UVH and BVH still has some disclosure points to be reviewed. However, SPT seems to be a secure, non-traumatic, and efficient procedure.
本研究描述了在一系列诊断为单侧脑室积水（UHV）和双侧脑室积水（BVH）的儿科患者中，造瘘术（SPT）的成功结果及随访分析。
本研究共纳入29例诊断为UVH或BVH的儿科患者。对于UVH，实施神经内镜下SPT（有时伴有NEFPFMO）。对于诊断为BVH的患者，实施SPT联合VPS。收集人口统计学、病因学、临床和诊断变量以及治疗成功率。
在随访期间，当UVH无需VPS且BVH仅植入单侧VPS时，SPT成功。手术时，16例患者需要脑室腹腔分流术。首次SPT在22例患者中成功，7例来自诊断为BHV的肿瘤学组患者需要二次手术。
UVH和BVH的手术治疗仍有一些要点有待审视。然而，SPT似乎是一种安全、无创且有效的手术。
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