Analysis of operational manner for 81 cases of myelomeningocoele accompanied by hydrocephalus

Objective To investigate the correlation between the surgical options and the curative effect.Methods Eighty-one cases who suffered from myelomeningocele with hydrocephalus from Jan 2004to Jan 2011 in Yuquan Hospital affiliated to Tsinghua University were followed.Three different surgical options were applied.Type A,ventriculoperitoneal shunt was performed after the reduction of spinal cord and duraplasty.Type B,ventriculoperitoneal shunt was performed before the reduction of spinal cord and duraplasty.Type C,ventriculoperitoneal shunt and the reduction of spinal cord and duraplasty were performed at one stage.The three surgical options were evaluated by efficacy and complications.Results There were more complications and higher risk of postsurgical disability in the Type A surgical option.The curative effect of the Type B way was similar to the Type C.The Type B required staged operation and increased the risk of infection and shunt pipe obstruction.The Type C were completed by onestage operation and had less complications.Conclusions The one-stage operation of ventriculoperitoneal shunt and the reduction of spinal cord and duraplasty could achieve better efficacy in the treatment of myelomeningocele with hydrocephalus. Key words: Myelomeningocele ;  Hydrocephalus ;  Surgical option