CAJ | 학술논문

目的：探讨腹腔镜下脑室-腹腔分流术治疗脑积水的优点及并发症的处理。方法回顾分析39例脑积水患者采用腹腔镜辅助下脑室-腹腔分流手术治疗的临床资料。结果38例患者术后随访3个月～1年（1例因电话号码更换失访），症状完全消失26例，明显好转8例，无明显改善4例。术后共出现并发症6例（15.4％），分别为分流管堵塞2例，癫痫1例，感染1例，硬膜下血肿1例，脑室出血1例。结论应用腹腔镜行脑室-腹腔分流手术治疗脑积水创伤小、安全快捷有效，明显减少引流管堵塞、被包裹、感染、肠梗阻等并发症的发生，值得推广应用。
목적：탐토복강경하뇌실-복강분류술치료뇌적수적우점급병발증적처리。방법회고분석39례뇌적수환자채용복강경보조하뇌실-복강분류수술치료적림상자료。결과38례환자술후수방3개월～1년（1례인전화호마경환실방），증상완전소실26례，명현호전8례，무명현개선4례。술후공출현병발증6례（15.4％），분별위분류관도새2례，전간1례，감염1례，경막하혈종1례，뇌실출혈1례。결론응용복강경행뇌실-복강분류수술치료뇌적수창상소、안전쾌첩유효，명현감소인류관도새、피포과、감염、장경조등병발증적발생，치득추엄응용。
Objective To investigate the advantages and complications of laparoscopic ventriculo -peritoneal shunt for hydrocephalus .Methods A retrospective analysis was performed on the clinical data of 39 patients with hy-drocephalus treated by laparoscopic ventriculo-peritoneal shunt .Results Thirty-eight patients were followed up for 3 months to 1 year, one of them lost follow-up because telephone number replacement .Symptoms fully disappeared in 26 cases, symptoms significantly improved in 8 cases, symptoms did not significantly improved in 4 cases.Postopera-tive complications occurred in 6 cases(15.4%), including: shunt tube obstruction in 2 cases, epilepsy in 1 case, infection in 1 case, subdural hematoma in 1 case, intraventricular hemorrhage in 1 case.Conclusion Laparoscopic ventriculo-peritoneal shunt for hydrocephalus has advantages of less trauma , safe, fast, exact effect and less compli-cations such the drainage tube clogging , wrapped, infection, intestinal obstruction and worthy of popularizing.