关键词: 脑积水, 分流术, 脑室镜, 腹腔镜, 并发症

Abstract: Objective To observe the clinical effect of ventriculoscopy combined with laparoscopy-assisted ventriculo-peritoneal shunt in the treatment of hydrocephalus.Methods A total of 72 patients with hydrocephalus admitted from February 2016 to May 2021 were divided into two groups according to different treatment methods.42 patients who underwent ventriculoscopy combined with laparoscopic assisted ventriculoperitoneal shunt in our hospital were used as the observation group and 30 patients who underwent traditional operation were used as the control group.The therapeutic effects of the two groups were evaluated and compared.Results  The operation time(57.32±5.61)min,blood loss(40.52±3.58)ml,ventilation time(1.51±0.42)d and postoperative hospital stay(7.83±0.58)d in the observation group were less than those in the control group[(70.58±8.42)min,(50.38±5.53)ml,(2.93±0.83)d,(8.95±0.67)d,P<0.05].The total incidence of adverse complications in the observation group(2.38%)was lower than that in the control group(26.67%)(P<0.05).After one year of follow-up,the incidence of shunt failure in the two groups was compared(13.33%,9.52%).The difference was not statistically significant(P>0.05).Conclusion Ventriculoscopy combined with laparoscopy assisted ventriculoperitoneal shunt in the treatment of hydrocephalus has less complications,minimally invasive and safe.

Key words: hydrocephalus, shunt, ventriculoscopy, laparoscopy, complications