内镜第三脑室底造瘘术治疗脑积水30例报告

Endoscopic third ventriculostomy for hydrocephalus: A report of 30 cases

摘要: 目的探讨以内镜第三脑室底造瘘术(endoscopic third ventriculostomy，ETV)治疗脑积水的效果。方法 2010年12月-2011年12月单一术者以内镜手术处理脑积水30例，回顾性分析该组病人的临床及随访资料，评价该术式的疗效及可取性。结果经随访12 ～ 24个月，本组病例30例，疗效显著11例(36.7%)，好转14例(46.7%)，无效5例(16.7%)，总有效率83.3%。结论 ETV治疗脑积水微创、安全，对于中脑导水管狭窄或闭锁引起的脑积水可作为首选手术方式。

Abstract: Objective To study the effect of endoscopic third ventriculostomy (ETV) on hydrocephalus. Methods Clinical data about 30 hydrocephalus patients who underwent ETV in our hospital from December 2010 to December 2011 were retrospectively analyzed. Results The patients were followed up for 12-24 months. Of the 30 patients, 11(36.7%) had an excellent response, 14(46.7%) had a good response, and 5(16.7%) had no response to ETV, with a total efficacy of 83.3%. Conclusion ETV is a minimally invasive, safe and effective procedure for hydrocephalus, and is thus the frst choice of treatment for midbrain aqueduct stenosis or occlusion due to hydrocephalus.