Abstract
Objective To investigate the clinical efficacies of five kinds of neuroendoscopy assisted operation mode to discuss the clinical application of neuroendoscopy in the treatment of hydrocephalus in children. Methods Eighty-eight children with hydrocephalus, admitted to our hospital from August 2009 to May 2014, were treated by five kinds of neuroendoscopy assisted operation modes, which included endoscopic third ventriculostomy, endoscopic third ventriculostomy+ ventricuIar-peritoneal shunt, endoscopic third ventriculostomy + choroid plexus cauterization, neuroendoscopy assisted ventricuIar-peritoneal shunt, and septum pellucidum colostomy, endoscopic septum pellucidotomy+ventricuIar-peritoneal shunt. The clinical efficacy, prognosis and complications of patients after being treated by these five kinds of operation modes were analyzed retrospectively. Results Eighty-four patients were effective or significantly effective at early stage after operation, with an overall response rate reaching to 95.45%. There were 78 times early complications, all of whom get well after one or two weeks. The late complications rate was 20.45%(n=18), including 14 children(15.9%)performed repeat ventricuIar-peritoneal shunt. Conclusion Neuroendoscopy is applied to the treatment of children with hydrocephalus, which can make individualized treatment, improve the success rate of surgery, and reduce the incidence of late complications and secondary surgery, therefore, it is worth popularizing in clinic. Key words: Hydrocephalus; Neuroendoscopy; Endoscopic third ventriculostomy; VentricuIar-peritoneal shunt; Complication
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