改良式腰椎蛛网膜下腔持续引流术治疗颅内感染(附120例分析)

Encephalic Infection Treated by Continuous Drainage Surgery on Meliorative Lower Eavity of Lumbar Arachnoid

目的探索治疗颅内感染新的改良技术和方法。方法选择颅内感染120例,分成治疗组和对照组各60例,治疗组行改良式腰椎蛛网膜下腔持续引流术并鞘内注药治疗,对照组行传统间断腰穿术并鞘内注药治疗,评价其疗效。结果治疗组颅内压控制平稳,脑膜刺激减轻,脑脊液药物浓度高,感染控制时间缩短,减少了并发症和后遗症,效果较好,治疗组明显优于对照组(P<0.05)。结论采用改良式腰椎蛛网膜下腔持续引流术治疗颅内感染具有明显优势,且疗效显著,是一种较为理想新技术方法。

Objective To study new improved techniques and methods in treating encephalic infection.Methods 120 cases of patients with encephalic infection were randomly divided into two groups. The treated group of 60 patients were applied with continuous drainage surgery on meliorative lower cavity of lumbar arachloid and inner theca transfusion treatment; while the contrast group of 60 patients were applied with traditional lumbar centesis combined with inner theca transfusion treatment. Curative effect is then assessed.Results The pressure inside the skull is steadily controlled, meninges stimulation abirritates, with high density of medicament in cerebrospinal liquid, shortening the time of infection control, reducing subsequent symptom and sequelae. The curative effect of the treated group is obviously better than that of the contrast group(P<0.05). Conclusion There is remarkable advantage to adopt continuous drainage surgery on meliorative lower cavity of lumbar arachloid in treatment of encephalic infection, and this effective method is an ideal new technique.