A clinical study comprising neuroendoscope-assisted and conventional shunt methods in treating patients with hydrocephalus
10.3760/cma.j.issn.1671-8925.2010.03.023
- VernacularTitle:神经内镜下和传统分流术治疗脑积水的疗效评价
- Author:
Guo-Dong HUANG
1
;
Wei-Ping LI
;
Xian-Jian HUANG
;
Tao JI
;
Tai-Peng JIANG
;
Yong-Zhong GAO
Author Information
1. 深圳大学第一附属医院
- Keywords:
Hydrocephalus;
Neuroendoscope third ventriculostomy;
Neuroendoscope ventriculoperitoneal shunt;
Ventriculo-peritoneal shunt
- From:
Chinese Journal of Neuromedicine
2010;9(3):308-311,315
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the effects and complications between neuroendoscope-assisted and conventional shunt methods in patients with hydrocephalus,Methods The data of 299 patients with hydrocephalus admitted to our hospital from June 2002 and June 2009 were analyzed.Among these patients,98 adopted neuroendscope:78 were performed ventriculoperitoneal shunt(EVPS)combined with endoscopic third ventriculostomy(ETV)and the other 20 with obstructive hydrocephalus were performed ETV only.The other 201 patients adopt conventional operation:VPS was employed in 196 and ventriculoatrial shunt was performed in 5.We compared shunt effectiveness by calculating the pre-and post-operative ventricular indexes,shunt failure rates and complication rates during the follow-up between the 2 groups.Results No difference in etiology of hydrocephalus or clinical characteristics between the 2 groups was found.Compared with the conventional shunt group,neuroendscope-assisted group enjoyed a longer operative time,a higher surgery cost,a lower clogging incidence rote and a higher precision rote of putting the tube(P<0.05).Conclusion Applying of neuroendoscope is a very good option in treating patients with various kinds of hydrocephalus with good long-term follow-up results.
