摘要目的 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.

abstractsObjective 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.