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慢性脑积水是动脉瘤性蛛网膜下腔出血后常见而危险的并发症之一,是造成病人残疾和死亡的主要因素。因此,积极预防和治疗慢性脑积水对改善病人生存质量具有十分重要的意义。近年研究认为,术中终板造瘘是治疗和预防动脉瘤性蛛网膜下腔出血后慢性脑积水的有效方法,但是其疗效存在争议。本文对近年终板造瘘治疗蛛网膜下腔出血后慢性脑积水的研究进展进行综述。
Chronic hydrocephalus is a common and dangerous complication of aneurysmal subarachnoid hemorrhage and is a major cause of disability and death in patients. Therefore, active prevention and treatment of chronic hydrocephalus to improve the quality of life of patients is of great significance. Recent studies suggest that intraoperative endplate fistula is an effective method for the treatment and prevention of chronic hydrocephalus after aneurysmal subarachnoid hemorrhage, but its efficacy is controversial. This review summarizes the research progress of endplate ostomy in treating chronic hydrocephalus after subarachnoid hemorrhage in recent years.