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

发布时间：2018-11-17 17:39

【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(P0.05)。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。
[Abstract]:Objective to observe the clinical effect of negative pressure continuous drainage combined with conventional debridement and pedicle periosteum flap sealing frontal sinus cavity in the treatment of frontal sinusitis after craniotomy. Methods the clinical data of 31 patients with frontal sinusitis after craniotomy in our hospital from January 2006 to December 2014 were retrospectively analyzed. 17 cases were treated with debridement and drainage, 14 cases were treated with negative pressure sealing and continuous drainage combined with conventional debridement. All patients were followed up for more than 1 year. Results 12 cases were cured by simple debridement and drainage, 5 cases recurred after operation, the cure rate was 70.6%, 14 cases were cured by negative pressure continuous drainage combined with conventional debridement and drainage, no recurrence was found after operation, and the cure rate was 100.0%. The cure rate of negative pressure continuous drainage combined with conventional debridement was higher than that of pure debridement and drainage (P0.05). Conclusion negative pressure sealing and drainage combined with conventional debridement and pedicle periosteum flap to seal frontal sinus cavity can promote the clearance of infected foci and wound healing and improve the cure rate.
【作者单位】： 第三军医大学大坪医院野战外科研究所神经外科;
【分类号】：R651.1
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本文编号：2338587