皮下潜行固定在急性脑积水EVD术中的治疗体会  

Treatment experience of subcutaneous fixation in EVD of acute hydrocephalus

作　　者：王宏宇 李宏宇[1] 李刚 Wang Hongyu;Li Hongyu;Li Gang(The Jilin Provincial Brain Hospital,Siping,Jilin 136000)

机构地区：[1]吉林省神经精神病医院,吉林四平136000

出　　处：《基层医学论坛》2020年第31期4466-4467,共2页The Medical Forum

摘　　要：目的对比经皮下潜行固定与常规固定法对急性脑积水脑室外引流(EVD)术颅内感染率的影响。方法选取我院2015年1月—2019年1月收治的施行EVD术的脑室出血或少量丘脑出血破入脑室引起急性脑积水的患者148例为研究对象,按照引流管不同固定方式分为潜行固定的改良组(74例)与常规固定的对照组(74例),对比2组颅内感染率。结果改良组术后颅内感染率明显低于对照组,差异有统计学意义(P<0.05)。结论急性脑积水患者行EVD经皮下潜行固定引流管能有效降低术后颅内感染率。Objective To compare the effect of subcutaneous fixation and conventional fixation on the intracranial infection rate of EVD.Methods from January 2015 to January 2019,148 patients with acute hydrocephalus caused by intraventricular hemorrhage or a small amount of thalamic hemorrhage who underwent EVD were selected as the research objects.According to the different fixation methods of drainage tube,they were divided into the modified group(74 cases)with latent fixation and the control group(74 cases)with conventional fixation.The intracranial infection rate between the improved group and the control group was compared.Results The rate of intracranial infection in the improved group was significantly lower than that in the control group(P<0.05).Conclusion The rate of intracranial infection after operation can be effectively reduced by subcutaneous fixation of drainage tube.

关 键 词：急性脑积水 侧脑室引流 皮下潜行固定 颅内感染 

分 类 号：R651.1[医药卫生—外科学]