中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2013年
31期
100-101
,共2页
腹腔镜%侧脑室-腹腔分流术%脑积水
腹腔鏡%側腦室-腹腔分流術%腦積水
복강경%측뇌실-복강분류술%뇌적수
Laparoscopic%Lateral ventricle-peritoneal shunt%Hydrocephalus
目的：探讨腹腔镜下行侧脑室-腹腔分流术对脑积水患者的临床效用价值。方法：选取本院2010年4月-2011年10月行腹腔镜下侧脑室-腹腔分流术的86例脑积水患者作为腹腔镜组，同时取同期的行开腹手术的72例脑积水患者为常规手术组进行对比研究。统计分析两组患者腹部手术时间、排气天数、术后并发症发生质量，并对两组患者的远期生活质量进行评分（Karnofasy评分）。结果：腹腔镜组患者平均腹部手术时间和排气时间均明显短于常规手术组，并发症发生率也明显低于常规手术组，比较差异均有统计学意义（P<0.05）；随访5个月后对其生活质量进行评分，结果显示腹腔镜组患者的远期生活质量明显高于常规手术组，差异有统计学意义（P<0.05）。结论：腹腔镜下行侧脑室-腹腔分流术不仅术后并发症少，而且对患者远期生活质量有着良好的改善作用，是神经外科治疗脑积水的有效方法，临床上值得推广。
目的：探討腹腔鏡下行側腦室-腹腔分流術對腦積水患者的臨床效用價值。方法：選取本院2010年4月-2011年10月行腹腔鏡下側腦室-腹腔分流術的86例腦積水患者作為腹腔鏡組，同時取同期的行開腹手術的72例腦積水患者為常規手術組進行對比研究。統計分析兩組患者腹部手術時間、排氣天數、術後併髮癥髮生質量，併對兩組患者的遠期生活質量進行評分（Karnofasy評分）。結果：腹腔鏡組患者平均腹部手術時間和排氣時間均明顯短于常規手術組，併髮癥髮生率也明顯低于常規手術組，比較差異均有統計學意義（P<0.05）；隨訪5箇月後對其生活質量進行評分，結果顯示腹腔鏡組患者的遠期生活質量明顯高于常規手術組，差異有統計學意義（P<0.05）。結論：腹腔鏡下行側腦室-腹腔分流術不僅術後併髮癥少，而且對患者遠期生活質量有著良好的改善作用，是神經外科治療腦積水的有效方法，臨床上值得推廣。
목적：탐토복강경하행측뇌실-복강분류술대뇌적수환자적림상효용개치。방법：선취본원2010년4월-2011년10월행복강경하측뇌실-복강분류술적86례뇌적수환자작위복강경조，동시취동기적행개복수술적72례뇌적수환자위상규수술조진행대비연구。통계분석량조환자복부수술시간、배기천수、술후병발증발생질량，병대량조환자적원기생활질량진행평분（Karnofasy평분）。결과：복강경조환자평균복부수술시간화배기시간균명현단우상규수술조，병발증발생솔야명현저우상규수술조，비교차이균유통계학의의（P<0.05）；수방5개월후대기생활질량진행평분，결과현시복강경조환자적원기생활질량명현고우상규수술조，차이유통계학의의（P<0.05）。결론：복강경하행측뇌실-복강분류술불부술후병발증소，이차대환자원기생활질량유착량호적개선작용，시신경외과치료뇌적수적유효방법，림상상치득추엄。
Objective:To explore the value of the clinical application for 86 cases of laparoscopic lateral ventricle-the shunt in the treatment of hydrocephalus.Method:Eighty-six hydrocephalus patients were selected in our hospital from April 2010 to October 2011 in laparoscopic lower ventriculo peritoneal shunt as the laparoscopic group,72 cases hydrocephalus patients at the same time were taken for comparison and research over the same period underwent open operation as the conventional surgery group.The abdominal surgery time,exhaust days,and the incidence of postoperative complications quality were taken for statistical analysis.The long-term quality of life for the two groups was taken for score(Karnofasy ratings).Result:The average abdominal surgery time and exhaust time of the laparoscopic group of patients were significantly shorter than the conventional surgery group,the incidence of complications was significantly lower than the conventional surgery group,the differences were statistically significant(P<0.05).The quality of life score five months after follow-up was taken for score,the results showed that with the long-term quality of life in laparoscopic group was better than the conventional surgery group,the difference was statistically significant(P<0.05).Conclusion:Laparoscopic lateral ventricle-peritoneal shunt is not only with fewer complications,and has a good improvement for the quality life of patients with long-term.It is an effective method of treatment of hydrocephalus in neurosurgery,and it is worthy of clinical promotion.
