CAJ | 학술논문

目的探讨神经内镜治疗脑积水的临床疗效与适应症.方法对2006年1月-2009年12月采用神经内镜治疗34例不同类型脑积水患者的情况进行回顾性分析.15例梗阻性脑积水采用内镜下脑室造瘘术,19例交通性脑积水采用内镜下引导分流术,随访期6个月～2年,评价其预后及并发症.结果 34例患者术后症状均得到明显缓解,无严重并发症,疗效满意.结论采用神经内镜手术治疗脑积水,具有安全、微创、疗效好、术后恢复快、并发症发生率低等优点.
목적 탐토신경내경치료뇌적수적림상료효여괄응증.방법 대2006년1월-2009년12월채용신경내경치료34례불동류형뇌적수환자적정황진행회고성분석.15례경조성뇌적수채용내경하뇌실조루술,19례교통성뇌적수채용내경하인도분류술,수방기6개월～2년,평개기예후급병발증.결과 34례환자술후증상균득도명현완해,무엄중병발증,료효만의.결론 채용신경내경수술치료뇌적수,구유안전、미창、료효호、술후회복쾌、병발증발생솔저등우점.
Objective To investigate the outcomes and indications of neuroendoscopic surgery for hydrocephalus. Methods The data on 34 patients with different types of hydrocephalus undergoing neuroendoscopic surgery during the period of March 2007 to December 2009 were retrospectively analyzed. 15 patients with obstructive hydrocephalus patients received neuroendoscopic third ventriculostomy and 19 with communicating hydrocephalus received neuroendoscopic ventriculoperitoneal shunting. All the patients were followed up for 6 to 24 months to assess prognosis and complications. Results Symptoms were significantly relieved in all the patients after surgery. No serious complications occurred. The outcomes of the surgery were ideal. Conclusions Endoscopic surgery for hydrocephalus is safe and minimally invasive, and has a better outcome. The patients recover rapidly after the surgery and have a lower incidence of complications.