负压封闭持续引流联合常规清创治疗开颅术后额窦炎的疗效分析  

Analysis on effect of vacuum sealing drainage combined with routine debridement in treatment of frontal sinusitis after craniotomy

作　　者：张溢华[1] 王昊[1] 沈光建[1] 徐伦山[1] 许民辉[1] 

机构地区：[1]第三军医大学大坪医院野战外科研究所神经外科,重庆400042

出　　处：《重庆医学》2017年第17期2381-2382,2385,共3页Chongqing medicine

摘　　要：目的观察负压封闭持续引流联合常规清创及带蒂骨膜瓣封闭额窦腔的方法治疗开颅术后额窦炎的临床疗效。方法回顾性分析该院2006年1月至2014年12月确诊的31例开颅术后出现额窦炎患者的临床资料。17例采用单纯清创引流治疗,14例采用负压封闭持续引流联合常规清创治疗,术后随访1年以上。结果单纯清创引流治疗治愈12例,5例术后复发,治愈率为70.6%,负压封闭持续引流联合常规清创引流治疗治愈14例,术后无复发,治愈率为100.0%。负压封闭持续引流联合常规清创治疗治愈率高于单纯清创引流治疗(P<0.05)。结论采用负压封闭引流联合常规清创及带蒂骨膜瓣封闭额窦腔的方法,能够促进感染灶清除及创面愈合,明显提高治愈率。Objective To investigate the clinical effect of using uninterrupted vacuum sealing drainage combined with routine debridement and pedicled periosteal flap sealing frontal sinusitis in treating frontal sinusitis after craniotomy. Methods The clinical data in 31 cases of frontal sinusitis after craniotomy in our hospital from January 2006 to December 2014 were retrospectively ana- lyzed. Seventeen cases adopted simple debridement and drainage treatment and 14 cases were treated with continuous vacuum seal- ing drainage combined with routine debridement treatment. Postoperative follow up lasted over 1 year. Results In simple debridement and drainage, 12 cases were cured, the other 5 cases recurred after operation,and the cure rate was 70.6%. But in the continu- ous vacuum sealing drainage combined with routine debridement treatment, 14 cases were cured, no case recurred after operation, and the cure rate was 1000%. Therefore, the cure rate of continuous vacuum sealing drainage treatment combined with routine debridement was higher than that of simple debridement and drainage treatment（P〈0.05）. Conclusion Adopting vacuum sealing drainage combined with routine debridement and pedicled periosteal flap sealing frontal sinusitis, can promote the infection focus clearance and wound healing, and increases the cure rate.

关 键 词：额窦炎 开颅术后 负压封闭引流 带蒂骨膜瓣 

分 类 号：R651.1[医药卫生—外科学]