Brodskiĭ Iu S
Zh Vopr Neirokhir Im N N Burdenko. 1978 May-Jun(3):51-4.
Transtentorial ventriculocisternostomy was performed on 21 patients. It led to the correction of the hypertensive-occlusive phenomena in all of them. No accumulation of cerebrospinal fluid in the soft tissues along the shunt-tubes, liquorrhea or purulent complications were encountered in the postoperative period. Transtentorial ventriculocisternostomy is indicated as the final stage of exploratory trephination of the posterior cranial fossa during which occlusion of the c.s.f. passages, irreparable by any other means, is revealed. It may also be the operation of choice for patients in whom high occlusion was diagnosed during a preoperative examination. Irrespective of the level and causes of occlusion of the c.s.f. passages and the operative method, bilateral ventriculocisternostomy is expedient.
对21例患者实施了经小脑幕脑室脑池造瘘术。所有患者的高血压性梗阻现象均得到纠正。术后未出现沿分流管的软组织内脑脊液积聚、脑脊液漏或化脓性并发症。经小脑幕脑室脑池造瘘术适用于后颅窝探查性环锯术的最后阶段，在此阶段可发现脑脊液通道阻塞且无法用其他方法修复。对于术前检查诊断为高位梗阻的患者，它也可能是首选手术。无论脑脊液通道阻塞的部位和原因以及手术方法如何，双侧脑室脑池造瘘术都是适宜的。
