{"title":"腹腔镜下临时长隧道脑室外引流术治疗外伤性脑积水的疗效分析。","authors":"Mingtao Chang, Jianfa Chen, Xia Qin, Hua Yang","doi":"10.1007/s00423-025-03814-5","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To study the clinical effect of laparoscopic temporary long-tunneled external ventricular drainage(LT-LTEVD) and conventional laparoscopic ventriculoperitoneal shunt(CL-VPS) in patients with post-traumatic brain injury hydrocephalus(PTH).</p><p><strong>Methods: </strong>This study was a prospective study. We analyzed the clinical data of 52 patients with PTH admitted to our department from October 2018 to October 2021.All cases were randomly divided into two groups, and performed LT-LTEVD and CL-VPS respectively. The catheterization time, remission time of intracranial hypertension, hospital stay, therapeutic effectiveness and complications rate were compared between groups.</p><p><strong>Results: </strong>The therapeutic effect of LT-LTEVD group (92.31%) was higher to that of CL-VPS group(65.38%), with statistical significance. Except the catheterization time, remission time of intracranial hypertension and hospital stay of CL-VPS group were significantly higher to those of the LT-LTEVD group, with statistical significance. The incidence of complications such as intracranial infection, shunt, obstruction and poor healing in the CL-VPS group(30.77%) was higher than that in LT-LTEVD group(7.69%), with statistical significance.</p><p><strong>Conclusion: </strong>The preliminary results of this study showed that in the treatment of patients with PTH, LT-LTEVD could potentially have a positive effect. However, future researches are needed to clarify these preliminary results.</p>","PeriodicalId":17983,"journal":{"name":"Langenbeck's Archives of Surgery","volume":"410 1","pages":"259"},"PeriodicalIF":1.8000,"publicationDate":"2025-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12398467/pdf/","citationCount":"0","resultStr":"{\"title\":\"Analysis of the effect of laparoscopic temporary long-tunneled external ventricular drainage in patients with post-traumatic brain injury hydrocephalus.\",\"authors\":\"Mingtao Chang, Jianfa Chen, Xia Qin, Hua Yang\",\"doi\":\"10.1007/s00423-025-03814-5\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>To study the clinical effect of laparoscopic temporary long-tunneled external ventricular drainage(LT-LTEVD) and conventional laparoscopic ventriculoperitoneal shunt(CL-VPS) in patients with post-traumatic brain injury hydrocephalus(PTH).</p><p><strong>Methods: </strong>This study was a prospective study. We analyzed the clinical data of 52 patients with PTH admitted to our department from October 2018 to October 2021.All cases were randomly divided into two groups, and performed LT-LTEVD and CL-VPS respectively. The catheterization time, remission time of intracranial hypertension, hospital stay, therapeutic effectiveness and complications rate were compared between groups.</p><p><strong>Results: </strong>The therapeutic effect of LT-LTEVD group (92.31%) was higher to that of CL-VPS group(65.38%), with statistical significance. Except the catheterization time, remission time of intracranial hypertension and hospital stay of CL-VPS group were significantly higher to those of the LT-LTEVD group, with statistical significance. The incidence of complications such as intracranial infection, shunt, obstruction and poor healing in the CL-VPS group(30.77%) was higher than that in LT-LTEVD group(7.69%), with statistical significance.</p><p><strong>Conclusion: </strong>The preliminary results of this study showed that in the treatment of patients with PTH, LT-LTEVD could potentially have a positive effect. However, future researches are needed to clarify these preliminary results.</p>\",\"PeriodicalId\":17983,\"journal\":{\"name\":\"Langenbeck's Archives of Surgery\",\"volume\":\"410 1\",\"pages\":\"259\"},\"PeriodicalIF\":1.8000,\"publicationDate\":\"2025-08-30\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12398467/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Langenbeck's Archives of Surgery\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1007/s00423-025-03814-5\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"SURGERY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Langenbeck's Archives of Surgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s00423-025-03814-5","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"SURGERY","Score":null,"Total":0}
Analysis of the effect of laparoscopic temporary long-tunneled external ventricular drainage in patients with post-traumatic brain injury hydrocephalus.
Objective: To study the clinical effect of laparoscopic temporary long-tunneled external ventricular drainage(LT-LTEVD) and conventional laparoscopic ventriculoperitoneal shunt(CL-VPS) in patients with post-traumatic brain injury hydrocephalus(PTH).
Methods: This study was a prospective study. We analyzed the clinical data of 52 patients with PTH admitted to our department from October 2018 to October 2021.All cases were randomly divided into two groups, and performed LT-LTEVD and CL-VPS respectively. The catheterization time, remission time of intracranial hypertension, hospital stay, therapeutic effectiveness and complications rate were compared between groups.
Results: The therapeutic effect of LT-LTEVD group (92.31%) was higher to that of CL-VPS group(65.38%), with statistical significance. Except the catheterization time, remission time of intracranial hypertension and hospital stay of CL-VPS group were significantly higher to those of the LT-LTEVD group, with statistical significance. The incidence of complications such as intracranial infection, shunt, obstruction and poor healing in the CL-VPS group(30.77%) was higher than that in LT-LTEVD group(7.69%), with statistical significance.
Conclusion: The preliminary results of this study showed that in the treatment of patients with PTH, LT-LTEVD could potentially have a positive effect. However, future researches are needed to clarify these preliminary results.
期刊介绍：
Langenbeck''s Archives of Surgery aims to publish the best results in the field of clinical surgery and basic surgical research. The main focus is on providing the highest level of clinical research and clinically relevant basic research. The journal, published exclusively in English, will provide an international discussion forum for the controlled results of clinical surgery. The majority of published contributions will be original articles reporting on clinical data from general and visceral surgery, while endocrine surgery will also be covered. Papers on basic surgical principles from the fields of traumatology, vascular and thoracic surgery are also welcome. Evidence-based medicine is an important criterion for the acceptance of papers.
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