Jones R F, Kwok B C, Stening W A, Vonau M
Prince of Wales Children's Hospital, Sydney, Australia.
Minim Invasive Neurosurg. 1994 Sep;37(1):28-36. doi: 10.1055/s-2008-1053445.
Improvements in the technology have made endoscopic third ventriculostomy safer than earlier technics of open third ventriculostomy as described by Scarf (14). Similarly, it is safer than the stereotactic technics used by Pierre-Kahn (10), Sayers (13), and Hoffman (4). The morbidity and mortality have decreased and the effectiveness has also increased (12, 15). Modern operations are based on Guiot's technique (2). In the management of hydrocephalus third ventriculostomy has to be compared with the treatment with intracranial shunts. Currently in our hands the procedure has a higher morbidity rate than a shunt operation. Our figures include those from our early experience (5)--more recent figures show a lower complication rate. We believe the higher morbidity is acceptable as the chance of being permanently cured is 80% in favourable cases.
技术的进步使得内镜下第三脑室造瘘术比斯卡夫（14）所描述的早期开放性第三脑室造瘘术更安全。同样，它也比皮埃尔 - 卡恩（10）、塞耶斯（13）和霍夫曼（4）所使用的立体定向技术更安全。发病率和死亡率有所降低，有效性也有所提高（12, 15）。现代手术基于吉奥的技术（2）。在脑积水的治疗中，第三脑室造瘘术必须与颅内分流术进行比较。目前在我们手中，该手术的发病率高于分流手术。我们的数据包括早期经验（5）中的数据——最近的数据显示并发症发生率较低。我们认为，尽管发病率较高，但在有利的情况下永久治愈的几率为80%，所以这种较高的发病率是可以接受的。
