交通性脑积水的外科治疗进展

Progress in Surgical Treatment of Traffic Hydrocephalus

摘要: 交通性脑积水(CHC)是继发于多种颅内疾病的一种脑脊液循环紊乱，病情复杂，进行性变化可导致永久性脑损伤，甚至死亡。由于CHC尚没有统一定义，传统外科治疗方式为分流术，包括脑室–腹腔分流术、腰大池–腹腔分流术等。目前治疗方式主要包括分流术和神经内镜技术，但神经外科医生对于CHC的治疗方法的选择过于单一，有些治疗方式不熟悉，熟悉掌握更多的CHC治疗方式，以便于在诊断和治疗方面的优化，从而根据病人的情况和操作的成功率和未来改善病人的生活质量方面仔细衡量，最终选择最合适的治疗方法。

Abstract: Traffic hydrocephalus (CHC) is a kind of disorder of cerebrospinal fluid circulation secondary to various intracranial diseases. The condition is complex and progressive, which can lead to permanent brain damage and even death. Since there is no unified definition of CHC, the traditional surgical treatment is shunt, including ventriculoperitoneal shunt, lumbar cistern-peritoneal shunt, etc. Current treatments mainly include shunt surgery and neuroendoscopic techniques. But the neurosurgeon for the treatment of CHC is too single, the choice of some treatments are not familiar with, familiar with the master more CHC treatment, in the diagnosis and treatment, according to the patient’s condition and the success rate of operation and improve patient’s quality of life in future carefully measure, finally select the most appropriate treatment.