|
|
|
| Comparison of therapeutic effects of different surgical methods on hydrocephalus in infants |
| JI Wenyu CAI Ning TU Kebai WANG Yongxin FAN Yandong Geng·Dangmurenjiafu |
| Department of Neurosurgery, the First Affiliated Hospital of Xinjiang Medical University, Xinjiang Uygur Autonomous Region, Urumqi 830054, China |
|
|
|
Abstract Objective To explore the clinical effect of different treatment methods for children with hydrocephalus. Methods From February 2014 to March 2017, 70 cases of hydrocephalus in the First Affiliated Hospital of Xinjiang Medical University were admitted, and they were divided into ETV group (20 cases), VPS group (27 cases) and the control group (23 cases) according to the treatment methods. After 6 months of follow-up, the improvement of clinical symptoms in children was counted, the preoperative and postoperative developmental quotients (DQ) were evaluated in children with different age among the groups and between the two surgical groups. The index values of the ventricle width in the two operation groups before and after the operation were measured by CT/MRI. Results The clinical symptoms of 18 cases in ETV group and 27 cases in VPS group were improved respectively, the DQ value of 6 months after operation in ETV group and 2, 6 months after operation in VPS group were significantly higher than those before operation (P < 0.05). The DQ values of 2, 6 months after operation in ETV group were significantly different from those of the corresponding VPS group (P < 0.05). Compared with the preoperative, the lateral ventricle and three ventricle of the ETV group, the three ventricle of the VPS group were reduced (P < 0.05). The DQ values of children under 1 year old in ETV group 6 months after operation and VPS group 2 months after operation were higher than that of children older than 1 year at the same term (P < 0.05). Conclusion The clinical effect of two kinds surgical treatment for hydrocephalus is significant, and the improvement of cognitive function is more obvious by ventriculoperitoneal shunt.
|
|
|
|
|
|
[1] 施炜城，李伟，梅文忠，等.脑积水脑室-腹腔分流术后分流管堵塞的原因分析[J].中华神经外科疾病研究杂志，2015，14（6）：561-563.
[2] 徐柯贝，胡婉湘，肖泉，等.儿童脑积水脑室-腹腔分流术后感染的危险因素分析[J].广西医学，2014，4（2）：380-382.
[3] 谭源福，肖绍文，张超元，等.神经内窥镜下第三脑室底造瘘术治疗梗阻性脑积水[J].广西医科大学学报，2014， 31（1）：139-140．
[4] 刘裕浩，李维平，宋同均，等.儿童脑积水手术前后认知功能障碍及综合性干预措施研究[J].山西医药杂志，2016， 45（8）：921-923．
[5] 吕记锋.第三脑室造瘘术治疗非交通性脑积水疗效分析[J].中国实用神经疾病杂志，2014，17（8）：84-84.
[6] 安宗剑，鲍南，杨波，等.神经内镜下第三脑室底造瘘术治疗儿童脑积水[J].中华神经外科杂志，2017，33（1）：24-27.
[7] Vassilouthis J，Richardson A. Ventricular dilatation and communicating hydrocephalus following spontaneous subarachnoid haemorrhage [J]. Neurosurg，1979，51（3）：341-351.
[8] Benjamin P. Gesell and Amatruda′s Developmental Diagnosis [J]. Dev Med Child Neurol，1976，18（3）：397-397.
[9] 陈登奎，庄进学，薛峰，等.脑积水脑室-腹腔分流术后并发症与处理[J].中国微侵袭神经外科杂志，2013，18（12）：558-559.
[10] 王阳，高俊红，张大鹏，等.神经内镜下三脑室底造瘘术治疗脑积水及并发症的防治[J].中华医学杂志，2015， 95（17）：1338-1340.
[11] 乌优图，鲁润春，李振业，等.神经内镜技术第三脑室底造瘘术治疗脑积水的进展[J].中国微侵袭神经外科杂志，2013，18（12）：571-573.
[12] 黄聪曦.探讨脑积水患儿脑室-腹腔分流术后脑功能的恢复情况[J].中国实用神经疾病杂志，2016，19（12）：62-63.
[13] Li C，Gui S，Zhang Y. Compare the safety and efficacy of endoscopic third ventriculostomy and ventriculoperitoneal shunt placement in infants and children with hydrocephalus： a systematic review and meta-analysis [J]. Int J Neurosci，2017，12：1-30.
[14] Gianaris TJ，Nazar R，Middlebrook E，et al. Failure of ETV in patients with the highest ETV success scores [J]. J Neurosurg Pediatr，2017，20（3）：225-231.
[15] 刘华，漆松涛，彭玉平，等.神经内镜下第三脑室底造瘘术治疗交通性脑积水[J].中华神经外科杂志，2013，29（4）：387-389.
[16] 谢方民，陈晓雷，张春普，等.第三脑室底形态在预测内镜下三脑室底造瘘术是否成功的意义[J].中华脑科疾病与康复杂志：电子版，2013，3（3）：60-61.
[17] 冯书彬，齐林，吕强，等.三脑室底造瘘术和脑室腹腔分流术治疗儿童脑积水疗效分析[J].中国实用神经疾病杂志，2017，20（24）：70-74.
[18] 关峰，胡志强，黄辉，等.神经内镜第三脑室底造瘘术治疗脑积水的相关因素分析（附150例报告）[J].中华神经外科杂志，2013，29（10）：1035-1038.
[19] 江辉，李青，杨佳宁.第三脑室底造瘘术和脑室腹腔分流术治疗梗阻性脑积水疗效分析[J].临床神经外科杂志，2013，10（5）：291-293.
[20] Deopujari CE，Karmarkar VS，Shaikh ST. Endoscopic Third Ventriculostomy： Success and Failure [J]. J Korean Neurosurg Soc，2017，60（3）：306-314. |
|
|
|
