神经内镜技术在难治性术后颅内感染患者中的效果观察  

Application of neuroendoscopy in patients with intractable intracranial infection after operation

作　　者：单春格[1] SHAN Chunge(Anyang District Hospital of Puyang City,Puyang 455000,China)

机构地区：[1]濮阳市安阳地区医院

出　　处：《中国实用神经疾病杂志》2019年第12期1326-1330,共5页Chinese Journal of Practical Nervous Diseases

摘　　要：目的 观察神经内镜技术在难治性术后颅内感染患者中的应用效果。方法 选取2014-02—2019-02安阳地区医院治疗的102例神经外科术后颅内感染患者,所有入选患者接受内镜治疗,内镜治疗后2个月为随访终点。结果 102例接受神经内镜治疗的患者,术后经规范化抗感染治疗后,有效控制99例(其中行脑室腹腔分流术5例,其余未见复发),3例死亡;术后2个月随访显示,患者未发生复发,且无术后出血者。本组总有效率97.05%。结论 难治性术后颅内感染患者应用神经内镜技术,短期内能够降低死亡发生率,减少术后感染复发,远期治疗效果有待进一步观察。Objective To explore the application of neuroendoscopy in patients with intractable intracranial infection after operation. Methods 102 patients with intracranial infection after neurosurgery from February 2014 to February 2019 were selected as the subjects of this study.All patients were treated with endoscopy,and 2 months after endoscopy was the end point of follow up. Results After standardized anti infection treatment,99 patients were effectively controlled after neuroendoscopy treatment (5 of them underwent ventriculoperitoneal shunt and the rest did not recur).Three patients died.Follow up survey showed that there was no recurrence and no bleeding after operation.The total effective rate of clinical treatment can reach 97.05%. Conclusion Neuroendoscopy can reduce the mortality rate and recurrence rate of intracranial infection after refractory surgery in a short time,but the long term treatment needs to be further confirmed by clinical treatment.

关 键 词：颅内感染 神经内镜技术 脑室腹腔分流术 术后感染 复发 

分 类 号：R619.3[医药卫生—外科学]