论文部分内容阅读
脑积水的主要治疗方法是脑脊液(CSF)分流手术,对于非肿瘤引起的婴儿脑积水治疗有效率超过70％,但CSF分流术的并发症有时很严重。为了探讨一种减少依赖CSF分流手术的方法,作者采用内窥镜下脉络丛凝固术治疗脑积水,并观察了此项技术对脑积水的作用、外科并发症以及脉络丛凝固手术的优点。 本文回顾了1973～1993年间116例患者156次脉络丛凝固术,随访了104例,其中36例(35％)不需再行CSF分流术。经脉络丛凝固术治疗的80例婴儿中30例(38％)也不需行分流术,此手术对控制交通性脑积水成功率较高。作者在治疗前囟门张力较高的16例儿童中仅有2例经脉络丛凝固术成功
The primary treatment for hydrocephalus is cerebrospinal fluid (CSF) shunt surgery, which is effective in treating non-tumor-induced hydrocephalus in infants by more than 70%, although the complications of CSF shunts are sometimes severe. To explore a method of reducing CSF-dependent shunt surgery, the authors used endoscopic choroid plexus coagulation to treat hydrocephalus and observed the effect of this technique on hydrocephalus, surgical complications, and the advantages of choroid plexus coagulation surgery . This review reviewed 156 choroid plexus coagulation techniques in 116 patients from 1973 to 1993 followed up by 104 patients, of whom 36 (35%) did not require CSF shunting. Thirty cases (38%) of 80 infants treated by choroid plexus coagulation technique were also not required for shunting. The success rate of this operation in controlling traffic hydrocephalus was high. Only two of the 16 children who underwent earlier treatment of fontanelle tension were successfully treated with choroidal plexus coagulation