CAJ | 학술논문

目的探讨经神经内镜行第三脑室底造瘘术治疗儿童交通性脑积水的适应证.方法回顾性分析2008年1月至2011年7月经第三脑室底造瘘术治疗的儿童交通性脑积水共32例,使用基于基弗评分(Kiefer score)的脑积水恢复比值(RR)结合影像学进行评估.结果共23例(72％)首次治疗成功,失败9例;失败病例再次手术平均次数为2.76次,平均时间为13.28个月,首次手术成功者RR值平均7.86±1.19.结论交通性脑积水患儿只要具备第三脑室底造瘘术治疗的条件,应尽量首选第三脑室底造瘘术治疗.
목적 탐토경신경내경행제삼뇌실저조루술치료인동교통성뇌적수적괄응증.방법 회고성분석2008년1월지2011년7월경제삼뇌실저조루술치료적인동교통성뇌적수공32례,사용기우기불평분(Kiefer score)적뇌적수회복비치(RR)결합영상학진행평고.결과 공23례(72％)수차치료성공,실패9례;실패병례재차수술평균차수위2.76차,평균시간위13.28개월,수차수술성공자RR치평균7.86±1.19.결론 교통성뇌적수환인지요구비제삼뇌실저조루술치료적조건,응진량수선제삼뇌실저조루술치료.
Objective To explore the new indication of endoscopic third ventriculostomy in the treatment of children with communicating hydrocephalus.Methods 32 children with communicating hydrocephalus eceived endoscopic third ventriculostomy from January 2008 to July 2011.The effects of the third ventriculostomy were evaluated by Recovery Rate (RR) and the imaging examination.Results 23 (72％) cases succeeded for the first time,and the average operation failed again for 2.76 times,and the average time was 13.28 months.The average RR was 7.86 ± 1.19 for the first operation success.Conclusions Endoscopic third ventriculostomy could be considered as the first choice for the treatment of communicating hydrocephalus in children.