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題名 | Endoscopic Third Ventriculostomy in the Management of Obstructive Hydrocephalus Caused by Aqueductal Stenosis=內視鏡第三腦室造口術治療大腦導水管狹窄所引起的阻塞性水腦症 |
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作者 | 羅永欽; 洪純隆; | 書刊名 | The Kaohsiung Journal of Medical Sciences |
卷期 | 16:10 2000.10[民89.10] |
頁次 | 頁510-516 |
分類號 | 416.291 |
關鍵詞 | 內視鏡第三腦室造口術; 大腦導水管狹窄; 阻塞性水腦症; Endoscopic third ventriculostomy; Aqueductal stenosis; Hydrocephalus; |
語文 | 英文(English) |
中文摘要 | 長期的使用顱外分流手術治療水腦症病人所產生的合併症很多如分流 管功能不全和感染,近年來有一篇文獻報告有1719位水腦症病人接受顱外分流 手術經12年長期追蹤後發現高達81%病人因合併症需再接受第二次甚至第三次 手術治療,且因合併症而死亡的病人有1.05%。本篇報告我們成功的使用軟式內 視鏡做第三腦室造口術治療21位因大腦導水管狹窄所引起阻塞性水腦症病人。 術後病人無不良的合併症也無死亡病例,且有95.2%病人獲得良好的結果。經長 期的追蹤大部份病人不需再接受顱外分流手術的治療,我們所得到的成績優於以 前的文獻報告。使用軟式內視鏡手術是一種簡單而安全的治療,術中可讓我們清 楚的看到腦室內的構造,如內有腫瘤亦可做切片檢查。因此對於因大腦導水管狹 窄所引起阻塞性水腦症的病人我們建議以內視鏡第三腦室造口術治療為第一優 先。 |
英文摘要 | Long-term extracranial shunting for hydrocephalus has numerous drawbacks related to shunt malfunction and infection. The outcomes have been very disappointing in some cases. We have treated twenty one patients with obstructive hydrocephalus, without mortality or morbidity, using a flexible endocope to perform third ventriculostomy. Favorable outcomes were achieved in 95.2% of the cases. Our results are superior to those previously reported. Most of the patients remained shunt independent after treatment and had obtained long-term stabilization. Flexible endoneurosurgical management is simple and safe, and it allows in situ observation and performance of biopsies. Therefore, in patients with obstructive hydrocephalus due to aqueductal stenosis, endoscopic third ventriculostomy should be seriously considered as the primary surgical management. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。