CAJ | 학술논문

目的：观察腹腔镜下脑室-腹腔分流术治疗脑积水的临床疗效。方法选择本院收治的48例脑积水患者为研究对象，所有患者均行腹腔镜下脑室-腹腔分流术治疗。观察患者的临床治疗效果、治疗前后Kamofsky评分及双侧脑室额角、颞角宽度变化。结果患者临床治疗总有效率为60.42%；治疗前患者的平均Kamofsky评分为（44.32±12.15），治疗后评分为（73.24±14.23），治疗前后比较，差异具有显著性（P＜0.01）；同时，治疗后患者平均双侧脑室额角、颞角宽度较治疗前明显缩小，差异具有显著性（P＜0.01）。结论腹腔镜下脑室-腹腔分流术治疗脑积水的临床疗效显著，能有效改善患者的生活质量，缩小患者双侧脑室额角、颞角宽度。
목적：관찰복강경하뇌실-복강분류술치료뇌적수적림상료효。방법선택본원수치적48례뇌적수환자위연구대상，소유환자균행복강경하뇌실-복강분류술치료。관찰환자적림상치료효과、치료전후Kamofsky평분급쌍측뇌실액각、섭각관도변화。결과환자림상치료총유효솔위60.42%；치료전환자적평균Kamofsky평분위（44.32±12.15），치료후평분위（73.24±14.23），치료전후비교，차이구유현저성（P＜0.01）；동시，치료후환자평균쌍측뇌실액각、섭각관도교치료전명현축소，차이구유현저성（P＜0.01）。결론복강경하뇌실-복강분류술치료뇌적수적림상료효현저，능유효개선환자적생활질량，축소환자쌍측뇌실액각、섭각관도。
Objective To observe the ventricle under laparoscopic abdominal bypass, the clinical curative effect of treatment of hydrocephalus. Methods 48 cases of our hospital patients with hydrocephalus as the research object, and all patients were performed laparoscopic ventricle-for the treatment of peritoneal shunt. The clinical therapeutic effect of patients, before and after treatment respectively Kamofsky score and Angle of bilateral frontal, temporal width changes were observed. Results The patients’ clinical total effective rate was 60.42%;before the treatment, patients' average Kamofsky score was (44.32±12.15), after treatment, the score was (73.24±14.23). Compared before and after treatment, with signiifcant difference (P<0.01);at the same time, after treatment, the average Angle of bilateral frontal, temporal width was narrowed, the difference is significant (P < 0.01), Compared before and after treatment, with significant difference. Conclusion Laparoscopic ventricle peritoneal shunt surgery treatment of hydrocephalus has signiifcant clinical effect, can effectively improve the patient's quality of life of patients with narrow angle of bilateral frontal, temporal width.