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脑积水诊治现状及问题
周良学,刘畅
0
(四川大学华西医院神经外科)
摘要:
脑积水是一种常见的原发或继发的中枢神经系统病变,常导致患者生存质量低下甚或致残致死,疾病负 担沉重。该病病因复杂、机制不清、治疗困难、并发症多,是神经外科的一大挑战。造成目前现状的重要原因在于基础 研究相对匮乏、对脑脊液循环机制及脑积水发生发展过程认识不足。此外,术前评估不全面和不精细,治疗方案缺乏个 体化选择,术后随访不够严密和全面,也限制了临床治疗水平的提高。因此,本文结合国内外研究进展,从脑积水现状、 分类与发生机制、脑脊液循环途径新发现及目前治疗状况进行述评,以期为脑积水的研究与治疗提供新思路。
关键词:  脑积水  发病机制  治疗方案  述评
DOI:
基金项目:四川省擊术和技术带头人培养支持经费[(2016)183-11]
Current status and problems in diagnosis and treatment of hydrocephalus
ZHOU Liangxue,LIU Chang
(Department of Neurosurgery, West China Hospital, Sichuan University)
Abstract:
Hydrocephalus is a common primary or secondary central nervous system disease? which often leads to poor quality of life or even disability and death. It is a great challenge for neurosurgery because of its complicated etiolo gy, unclear mechanism, difficult treatment and many complications. The main reasons for the current situation lie in the lack of basic research, the lack of understanding of the mechanism of cerebrospinal fluid circulation and the occurrence and development of hydrocephalus. In addition, the preoperative evaluation is not comprehensive and precise, the treat rnent plan is lack of individualized choice ? and the postoperative follow up is not strict and comprehensive, which also lim its the improvement of clinical treatment level. Therefore, based on the research progress at home and abroad, this paper reviews the current situation, classification and mechanism of hydrocephalus, new discovery of cerebrospinal fluid circula tion pathway and current treatment status, in order to provide new ideas for the research and treatment of hydrocephalus.
Key words:  Hydrocephalus  Pathogenesis  Therapeutic schedule  Commentary

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