神經(jīng)內(nèi)鏡三腦室造瘺治療阻塞性腦積水的臨床研究.pdf

1、內(nèi)蒙古民族大學碩士學位論文神經(jīng)內(nèi)鏡三腦室造瘺治療阻塞性腦積水的臨床研究姓名：道日娜申請學位級別：碩士專業(yè)：中（蒙）西醫(yī)結(jié)合臨床指導教師：孫志剛20090401Clinicalresearchofendoscopicthirdventriculostomyforobh3phalustor0bstructivehvdroceohausAbStraCtObjective：Tolearntheetiologyofhydrocephalus，ex

2、ploretheindicationofendoscopicthirdventriculostomyandcomparethepostoperativeeffectandcomplicationsoftwomethodsforobstructivehydrocephalusviatheclinicalanalysisMethods：38patientswhounderwentendoscopicthirdventriculostomva

3、nd41patientswhounderwentventriculoperitonealshuntoperationforocclusivehydrocephaluswerefollowedprospectivelyfromJune2003toJune2008Results：Inventriculostomygroup，themedialoperatingtimewas52minutes，36(9474％)improvedand2(52

4、6％)recurred，3(789％)hadcomplicationsasfever，diabetesinsipidusInshuntgroup，themedialoperatingtimewas65minutes，41(100％)improvedand10(2439％)recurred，17(4146％)hadcomplicationsincludedtubeblocked，infection，intracranialhematoma

5、ortrappedfourthventriCleConclusions：EndoscopicthirdventriculostomvhasComparedwithventriculo—peritonealshuntoperationforequaleffectobstructivehydrocephalus，anditcandecreasetheoperatingtime，recurrencerateandcomplicationsSo

6、ventriculostomyshouldbethefirstselectionofocclusivehydrocephalusasshuntalternativesKeywords：Neuroendoscope；ThirdventriculostomyShunt：Obs|ruclivehydrocephalusDriectedby：profSUNZhigangAppIicantforMasterdegree：DAORina(Chine