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| Neuroendoscopic Third Ventriculostomy for Obstructive Hydrocephalus in Children |
| MA Wei-ke, YANG Wei-guo, HE Yan-xia, et al |
| Shenzhen Children's Hospital, Shenzhen 518038 |
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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.
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Received: 26 November 2018
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[1] 孙关, 郭俊, 聂德康,等. 神经内镜下第三脑室底造瘘术治疗儿童梗阻性脑积水疗效分析[J].中华神经医学杂志, 2016, 15(9):941-944.
[2] 高慧, 沈娟. MR常规序列T2WI和3D-CISS序列在梗阻性脑积水中比较[J].中国现代医学杂志, 2017, 27(2):130-132.
[3] 曹玉魁. 合并梗阻性脑积水的巨大垂体腺瘤的临床特点、治疗及术后并发症的处理[D].郑州大学, 2017.
[4] 潘智丰, 杨帆, 黄永东,等. 脑室多腔积水-腹腔分流术的神经外科应用[J].医疗装备, 2017, 30(3):118-119.
[5] 吴水华, 沈沉浮, 陈朝晖,等. 巴德(Bird)植入式输液港在婴幼儿急性梗阻性脑积水治疗中的应用[J].临床小儿外科杂志, 2017,11(6):592-594.
[6] 孙关, 郭俊, 聂德康,等. 神经内镜下第三脑室底造瘘术治疗儿童梗阻性脑积水疗效分析[J].中华神经医学杂志, 2016, 15(9):941-944.
[7] 罗越岭. 脑室镜辅助下第三脑室造瘘术治疗梗阻性脑积水的临床疗效评价[J].中国卫生标准管理, 2016, 7(9):55-57.
[8] 邢海涛, 袁波, 谭占国. 神经内镜下第三脑室底造瘘术治疗梗阻性脑积水的疗效观察[J].中国临床神经外科杂志, 2016,11(8):498-499.
[9] 郑亚北. 神经内镜下第三脑室底造瘘术治疗梗阻性脑积水的疗效观察[J].临床医药文献电子杂志, 2016, 3(8):1461.
[10] 陈文霞. 婴幼儿发育商评分在高危儿随访中的应用研究[J].中国妇幼保健, 2017, 32(22):5645-5647. |
| [1] |
. [J]. JOURNAL OF CLINICAL RESEARCH, 2019, 36(9): 1834-1836. |
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2019, Vol. 36 
