Objective To compare the therapeutic effects of endoscopic third ventriculostomy (ETV) and ventriculoperitoneal shunt (VPS) on communicating hydrocephalus in infants. Methods Forty-two infants with communicating hydrocephalus who admitted to Department of Neurosurgery of Chenzhou First People's Hospital from August 2015 to August 2018 were prospectively enrolled. Before operation, 21 infants underwent endoscopic third ventriculostomy (ETV group) and 21 infants underwent ventriculoperitoneal shunt (VPS group);the curative effect and complications were compared between the two groups. Results The total effective rate of children in the ETV group was 61.9%, which was significantly lower than 95.2% in the VPS group (P<0.05). There were 8 cases of fever and fast heart rate, 1 case of infection, 2 cases of small intraventricular hemorrhage, and 76.2% of the total complications in the ETV group;there were 1 case of intracranial hemorrhage, 2 cases of infection, and 19.0% of the total complications in the VPS group. There was statistically significant difference in the incidence of total complications (P<0.05). Conclusion The success rate of ventriculoperitoneal shunt in the treatment of infantile communicating hydrocephalus is higher than that of endoscopic third ventriculostomy, and the total postoperative complication rate is lower.
Hainan Medical Journal
Endoscopic third ventriculostomy (ETV)
Ventriculoperitoneal shunt (VPS)