In the history of 100 years of substantive treatment of hydrocephalus, cerebrospinal fluid shunt was applied to the treatment of hydrocephalus in 1950 years, and achieved the best treatment effect in history, so cerebrospinal fluid shunt became the most important or even the only effective surgical treatment for hydrocephalus. Before 1990, many ventriculostomy and choroid plexus cautery were considered as abandoned operations. However, with the popularization of cerebrospinal fluid shunt, the infection and shunt obstruction of cerebrospinal fluid shunt are considered as intractable complications, and often lead to the end of life or serious disabling consequences because of the inability of treatment methods. The complications of these two failed cerebrospinal fluid shunt operations are mainly due to helpless doctors and the popularity of modern websites, which makes patients, their families and ordinary doctors think it is extremely dangerous and has become a worldwide problem.
Therefore, in recent years, the "revival" of the treatment of hydrocephalus by ventriculoscope or neuroendoscope has been initiated from advanced foreign countries, and some scholars in China have quickly learned to avoid cerebrospinal fluid shunt as much as possible and realize surgical treatment without shunt tube, but the treatment methods have been abandoned before, such as ventriculostomy and choroid plexus cauterization, and the treatment principles have not been fundamentally changed or improved. However, in recent years, the actual effect of ventriculoscope or neuroendoscope in the treatment of hydrocephalus in China, although some cases have reported good selective effect, is still an indisputable fact, but the effect of endoscope in the treatment of most traffic hydrocephalus and about 40% obstructive hydrocephalus is still an indisputable fact. However, the serious complications of endoscopic surgery itself, such as severe ventricular hemorrhage, hypothalamic injury, diencephalon epilepsy and intracranial infection, are not more common than cerebrospinal fluid shunt. In addition, the "minimally invasive" nature of modern ventriculoscope or neuroendoscope surgery is only minimally invasive compared with the previous surgery with craniotomy or cystoscope as the original ventriculoscope, but it is much more "serious" than cerebrospinal fluid shunt surgery.
Professor Li is the director of neurosurgery at the junction of skull base and cranial vertebrae in yuquan hospital, Beijing, and a senior expert in neurosurgery in Beijing Tiantan Hospital. From 1998, the treatment of infection complications after hydrocephalus shunt was studied, and the "revolutionary" good result was obtained, which was considered as a "qualitative" leap in history at that time. This news soon appeared on the front page of Health News on September 30th, 1998,1the second edition of Health Consulting News on October 23rd. 199865438+First Medical News on February 23rd,199865438+February 3rd1,Chinese Medicine Herald, 1999, June 15, in the sixth edition of Guangming Daily, and finally in 65438. After returning from studying in the United States in 2004, Professor Li not only deeply studied the treatment of ventricular drainage and cerebrospinal fluid shunt infection, but also made a comprehensive and in-depth study on the complications of shunt obstruction after cerebrospinal fluid shunt, and made a historic worldwide breakthrough: under Li's special technical conditions, the cure rate of complications of cerebrospinal fluid shunt obstruction was close to 1 0,000%. The new achievements in this field are of great significance to basically deny the existence of "shunt rejection" under modern conditions, and also help to improve the overall level of shunt surgery for hydrocephalus. After overcoming the "shortcoming" of advocating endoscopic treatment of hydrocephalus and accusing cerebrospinal fluid shunt of serious complications, there is no doubt that hydrocephalus shunt will once again become the mainstream technology for hydrocephalus treatment, so it has reached the forefront of the world in hydrocephalus treatment. Professor Li is a mature and experienced expert in the treatment of hydrocephalus at home and abroad, especially in cases of cerebrospinal fluid shunt and failed endoscopic surgery.