Abstract:【Objective】To explore the effect of endoscopic third ventriculostomy in the treatment of obstructive hydrocephalus in children. 【Methods】The clinical data of 64 children with obstructive hydrocephalus admitted to our hospital from January 2014 to June 2017 were analyzed retrospectively. According to different treatment methods, they were divided into observation group (n=33, endoscopic third ventriculostomy) and control group (n=31, ventriculoperitoneal shunt). The clinical effect, operation related indexes, developmental quotient scores before and after treatment were compared between the two groups, and the postoperative complications were analyzed. 【Results】The operation time and hospitalization time in the observation group were significantly lower than those in the control group (P<0.05). The clinical effective rate of the observation group was 93.94% (31 / 33), which was significantly higher than that of the control group (80.65%) (25 / 31). The difference was statistically significant (χ2=-2.097, P<0.05). The difference between the two groups was statistically significant (P<0.05). The incidence of postoperative complications in the observation group was 9.09%, lower than 32.26% in the control group. The difference was statistically significant (χ2=5.300,P=0.021<0.05). 【Conclusion】The application of endoscopic third ventriculostomy in the treatment of obstructive hydrocephalus in children has a good clinical effect, which is conducive to the recovery of children's neurological function.
马伟科, 杨卫国, 何颜霞, 武宇辉, 张蕾. 神经内镜下第三脑室造瘘治疗儿童梗阻性脑积水对患儿神经功能的影响[J]. 医学临床研究, 2019, 36(11): 2134-2136.
MA Wei-ke, YANG Wei-guo, HE Yan-xia, et al. Neuroendoscopic Third Ventriculostomy for Obstructive Hydrocephalus in Children. JOURNAL OF CLINICAL RESEARCH, 2019, 36(11): 2134-2136.