局部剃发在开颅手术中的临床应用

Clinical application of partial hair shaving in craniotomy

目的探讨开颅手术部分剃发的可行性和技术要求。方法对9例开颅病人行术前部分剃发,根据手术切口的位置和皮瓣大小,剃发范围大于皮瓣范围约1cm。剃发后头部用洗发精仔细清洗。术中用酒精和络合碘清洗切口周围头发,用布单将剩余头发隔离在术野之外并用头钉或缝线缝合固定。结果本组9例病人均顺利进行手术操作,剩余头发不影响手术。术后无颅内和切口感染,剩余头发可以很好地遮蔽头发缺如区域。结论开颅手术病人部分剃发是安全可行的,术后病人有较好的外观,减少了病人的心理压力,可在常规开颅术中推广使用。

Objective To investigate the feasibility and specification of partial hair shaving for the craniotomy. Methods The hair was partially shaved before surgery in 9 patients. According to the location of incision and the size of the skin flap, the hair in the operation field was shaved, about 1 cm wider than the skin flap. The remnant hair was shampooed just before the surgery. The shaved area and the surrounding hair were washed with complex iodine and alcohol separately during operation. The remnant hair was shielded from the surgical field with a drape and held with staples or silk sutures. Results All the 9 patients tolerated the procedure well and there was no intracranial or incision infection. After surgery the shaved area can be covered with the remnant hair quite well. Conclusion Partial hair shaving is feasible and safe for craniotomy. After surgery the patients looked just as the same before surgery and so they can return to society soon without embarrassment. Therefore it can be used widely in routine craniotomy.