对于这个问题，全世界最有发言权的是美国哈佛大学医院小儿神经外科WarfBC教授。为了明确内镜手术治疗小儿脑积水的效果，WarfBC教授在非洲用了10年时间，经过数千例各种类型婴儿脑积水病例的临床实践，发现内镜下第三脑室底造瘘+脉络丛烧灼术治疗婴幼儿脑积水，总有效率超过70%，自年以来，WarfBC教授在神经外科及小儿神经外科权威杂志上已连续发表了30余篇文章，阐述了内镜手术治疗婴幼儿脑积水的惊人效果。感兴趣的可以查阅WarfBC教授近十年有关内镜手术治疗婴幼儿脑积水的文献。 1:MandellJG,KulkarniAV,WarfBC,SchiffSJ.Volumetricbrainanalysisinneurosurgery:Part2.BrainandCSFvolumesdiscriminateneurocognitiveout 2:StoneSS,WarfBC.Combinedendoscopicthirdventriculostomyandchoroidplexuscauterizationasprimarytreatmentforinfanthydrocephalus:aprospectiveNorthAmericanseries.JNeurosurgPediatr.Nov;14(5):-46.
3:WarfBC.Threestepsforwardand2stepsback:theEchternachprocessiontowardoptimalhydrocephalustreatment.Neurosurgery.Aug;61Suppl1:-10.
4:LaneJD,MugambaJ,SsenyongaP,WarfBC.EffectivenessoftheBactisealUniversalShuntforreducingshuntinfectioninasub-SaharanAfricancontext:aretrospectivecohortstudyinUgandanchildren.JNeurosurgPediatr.Feb;13(2):-4.
5:StagnoV,MugambaJ,SsenyongaP,KaayaBN,WarfBC.Presentation,pathology,andtreatmentout 6:WarfBC.Congenitalidiopathichydrocephalusofinfancy:theresultsoftreatmentbyendoscopicthirdventriculostomywithorwithoutchoroidplexuscauterizationandsuggestionsforhowitworks.ChildsNervSyst.Jun;29(6):-40.doi:10./s---1.EpubMar13.
7:WarfBC,BhaiS,KulkarniAV,MugambaJ.Shuntsurvivalafterfailedendoscopictreatmentofhydrocephalus.JNeurosurgPediatr.Dec;10(6):-70.
8:SchiffSJ,RanjevaSL,SauerTD,WarfBC.RainfalldriveshydrocephalusinEastAfrica.JNeurosurgPediatr.Sep;10(3):-7.
9:WarfBC,TracyS,MugambaJ.Long-termout 10:WarfBC.Educateonetosaveafew.Educateafewtosavemany.WorldNeurosurg.Feb;79(2Suppl):S15.e15-8.
11:WarfBC.Theimpactof 12:WarfBC,AlkireBC,BhaiS,HughesC,SchiffSJ,VincentJR,MearaJG.Costsandbenefitsofneurosurgicalinterventionforinfanthydrocephalusinsub-SaharanAfrica.JNeurosurgPediatr.Nov;8(5):-21.
13:WarfBC,DagiAR,KaayaBN,SchiffSJ.Five-yearsurvivalandout 14:WarfBC,DewanM,MugambaJ.ManagementofDandy-Walker 15:WarfBC.Hydrocephalusassociatedwithneuraltubedefects:characteristics,management,andout 16:WarfBC,CampbellJW,RiddleE.Initialexperiencewith 17:WarfBC,WrightEJ,KulkarniAV.FactorsaffectingsurvivalofinfantswithmyelomeningoceleinsoutheasternUganda.JNeurosurgPediatr.Feb;7(2):-33.
18:WarfBC,StagnoV,MugambaJ.EncephaloceleinUganda:ethnicdistinctionsinlesionlocation,endoscopicmanagementofhydrocephalus,andsurvivalinconsecutivechildren.JNeurosurgPediatr.Jan;7(1):88-93.
19:LiL,PadhiA,RanjevaSL,DonaldsonSC,WarfBC,MugambaJ,JohnsonD,OpioZ,JayaraoB,KapurV,PossM,SchiffSJ.AssociationofbacteriawithhydrocephalusinUgandaninfants.JNeurosurgPediatr.Jan;7(1):73-87.
20:WarfBC;EastAfricanNeurosurgicalResearchCollaboration.PediatrichydrocephalusinEastAfrica:prevalence,causes,treatments,andstrategiesforthefuture.WorldNeurosurg.Apr;73(4):-.
21:KulkarniAV,WarfBC,DrakeJM,MallucciCL,SgourosS,ConstantiniS;CanadianPediatricNeurosurgeryStudyGroup.Surgeryforhydrocephalusinsub-SaharanAfricaversusdevelopednations:arisk-adjusted 22:WarfBC,KulkarniAV.Intraoperativeassessmentofcerebralaqueductpatencyandcisternalscarring:impactonsuccessofendoscopicthirdventriculostomyinAfricanchildren.JNeurosurgPediatr.Feb;5(2):-9.
23:WarfBC,MugambaJ,KulkarniAV.EndoscopicthirdventriculostomyinthetreatmentofchildhoodhydrocephalusinUganda:reportofascoringsystemthatpredictssuccess.JNeurosurgPediatr.Feb;5(2):-8.
24:WarfBC,CampbellJW.Combinedendoscopicthirdventriculostomyandchoroidplexuscauterizationasprimarytreatmentofhydrocephalusforinfantswithmyelomeningocele:long-termresultsofaprospectiveintent-to-treatstudyinEastAfricaninfants.JNeurosurgPediatr.Nov;2(5):-6.
25:WarfBC.Endoscopicthirdventriculostomyandchoroidplexuscauterizationforpediatrichydrocephalus.ClinNeurosurg.;54:78-82.
26:WarfBC.Comparisonofendoscopicthirdventriculostomyaloneand 27:WarfBC.HydrocephalusinUganda:thepredominanceofinfectiousoriginandprimarymanagementwithendoscopicthirdventriculostomy.JNeurosurg.Jan;(1Suppl):1-15.
28:WarfBC.Comparisonof1-yearout PrecisionshuntsystemsinUganda:aprospectivestudyinchildren.JNeurosurg.May;(4Suppl):-62.
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