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目的 介绍一种治疗导水管狭窄性梗阻性脑积水的新方法。方法 经侧脑室 室间孔 三脑室置入神经内窥镜 ,于三脑室底与脚间池之间造一瘘孔。结果 9例近期疗效好 ,前囟张力正常 ,2例改行脑室腹腔分流术。结论 神经内窥镜下三脑室底脚间池造瘘是一种安全、有效、并发症少的微创手术。
Objective To introduce a new method for the treatment of aqueduct stenosis. Methods Into the third ventricle of interventricular foramen through the lateral ventricle into the endoscopic neuroendoscopy, in the third ventricle and the foot of the pool between the pool to create a fistula. Results Nine cases had good short-term curative effect, normal anterior fontanelle and 2 cases diverted peritoneal shunt. Conclusion Neuroendoscopic cholecystostomy in the third ventricle is a safe, effective and minimally invasive minimally invasive surgery.