早期颅骨修补并脑室-腹腔分流术与分期单项手术术后感染相关因素分析  

Analysis of Infection Related Factors between the Early Cranioplasty and Ventricle-peritoneal Shunt with Staging the SinglePostoperative

作　　者：周志国[1] 朱青峰[1] 陈静[1] 

机构地区：[1]中国人民解放军第264医院,山西太原030001

出　　处：《中国医学创新》2012年第29期51-52,共2页Medical Innovation of China

摘　　要：目的:探讨同期颅骨修补合并脑室-腹腔分流术与分期单项手术致颅内感染率有无差异,分析引起感染的相关因素,提出防治策略。方法:分别对16例脑积水合并颅骨缺损患者行颅骨修补术合并脑室-腹腔分流术,15例分期行颅骨修补。并对分流手术术后感染的相关资料进行回顾分析。结果:同期手术16例,术后半年内感染7例,其中颅内感染4例(1例死亡),切口感染2例,腹腔感染1例;分期单项手术15例,颅内感染2例。结论:同期颅骨修补合并脑室-腹腔分流术较分期单项手术术后更容易发生感染,应分期手术。Objective：To explore the infection rate’s difference between the same period in cranioplasty ventriculo-peritoneal shunt andinstallments single surgical intracranial,to analyze the cause of infection-related factors and prevent strategies.Method：16 cases of hydrocephalus withskull defects in patients with intraventricular-peritoneal shunt cranioplasty surgery,and 15 cases of phased skull patch and shunt surgery postoperativeinfection data were analyzed retrospectively.Result：Over the same period surgery,in the 16 cases,seven cases were infected,within six months aftersurgery,four cases in which intracranial infection（1 death）,wound infection in 2 cases,abdominal infection in 1 case,installments single surgery15 cases,2 cases of intracranial infection.Conclusion：The infection of the same period intraventricular-peritoneal shunt cranioplasty were more thaninstallments single surgical,so the operationg should be done in phases.

关 键 词：脑积水 颅骨缺损 颅骨修补术 脑室-腹腔分流术 感染 

分 类 号：R651.1[医药卫生—外科学]