|
|
|
| Clinical effect of in situ bone chip replantation in the prevention of intracranial infection after external ventricular drainage |
| XU Longbiao, ZHAO Ming, FANG Naicheng, PAN Bailin, DU Guosen. |
| Department of Neurosurgery, Zhejiang Zhuji People’s Hospital, Shaoxing, 311800 |
|
| Cite this article: |
|
XU Longbiao,ZHAO Ming,FANG Naicheng, et al. Clinical effect of in situ bone chip replantation in the prevention of intracranial infection after external ventricular drainage[J]. JOURNAL OF WEZHOU MEDICAL UNIVERSITY, 2017, 47(12): 914-915,918.
|
|
|
|
Abstract Objective: To investigate the clinical effect of in situ bone chip replantation in the prevention of intracranial infection after external ventricular drainage. Methods: A total of 156 cases in our department for external ventricular drainage in patients was randomly divided into 2 groups, replantation group (study group, 81 cases) and conventional replantation group (control group, 75 cases). In the study group of lateral ventricle puncture after the success of collected bone chips evenly in the drainage tube and the bone hole clearance in control group during the operation after successful puncture with gelatin sponge placed in the drainage tube and the bone hole clearance, the incidence of 2 groups of patients with cerebrospinal fluid leakage, intracranial infection and other complications were compared. Results: The incidence ratio of the research group of intracranial infection (5 cases) and control group (13 cases) was statistically significant (P<0.05); the incidence rate ratio difference cerebrospinal fluid leakage in study group (2 cases) and control group (8 cases) was statistically significant (P<0.05); the placed time of the study group was more than 10 d (42%) and control group (24%) the number of cases, the difference was statistically significant (P<0.05). Conclusion: In situ bone chip replantation is effective in preventing intracranial infection after external ventricular drainage.
|
|
Received: 26 April 2017
|
| |
|
|
|
[1] SRINIVASAN V M, O’NEILL B R, JHO D, et al. The history of external ventricular drainage: Historical vignette[J]. J Neurosurg, 2014, 120(1): 228-236.
[2] 赵新亮, 申长虹, 甄自刚. 神经外科术后颅内感染的临床研究[J]. 中华医院感染学杂志, 2006, 16(3): 277-280.
[3] HOEFNAGEL D, DAMMERS R, TERLAAK-POORT M P, et al. Risk factors for infections related to external ventricular drainage[J]. Acta Neurochir, 2018, 150(3): 209-214.
[4] 肖庆, 陈国强, 郑佳平, 等. 内镜下脑室灌洗治疗脑室感染[J]. 中华神经外科杂志, 2010, 26(8): 706-708.
[5] 方乃成, 赵明, 杜国森, 等. 侧脑室联合置管引流治疗脑室内铸型血肿(附116例临床报告)[J]. 中华神经外科杂志, 2011, 27(11): 1165-1168.
[6] 谭博, 刘绍明. 神经外科术后颅内感染危险因素分析研究[J]. 中华神经外科疾病研究杂志, 2015(3): 283-285.
[7] 陈亮, 罗雪峰, 易成朋, 等. 四肢骨折内固定时自体骨屑回植对骨折愈合的影响[J]. 中华创伤骨科杂志, 2013, 15(7): 634-636. |
|
|
|
