毫米波对神经外科切口皮瓣下积液及继发性头痛的疗效观察

Millimeter Wave on Subcutaneous Fluid Collection and Post-operative Headache after Craniotomy

目的分析神经外科开颅患者术后切口局部积液和继发性头痛的临床特点,进一步探讨局部毫米波治疗术后皮下积液及继发性中-重度头痛的临床效果和不良反应。方法采用随机开放平行随机对照实验,选择32例择期行开颅手术后出现切口皮瓣下积液的神经外科患者,随机分为观察组(毫米波治疗)和对照组(常规治疗),分别记录治疗后3d的积液体积变化、积液完全吸收时间、相关感染发生率、术后局部中-重度头痛发生率及治疗前后变化,并进行组间对比。结果出现切口皮下积液者中-重度头痛发生率高达93.8%;观察组3d后积液体积指数平均减少76.5%,对照组减少63.3%(P<0.05);观察组积液完全吸收时间亦明显短于对照组(P<0.01);观察组无相关感染发生,对照组出现3例;观察组毫米波治疗后局部头痛缓解率明显高于对照组;应用毫米波治疗后未出现严重不良反应。结论毫米波治疗对神经外科切口皮瓣下积液具有良好疗效,并可降低相关感染和继发性切口局部疼痛的发生率。

Objective To explore the clinical features of subcutaneous fluid collection and post-operative headache after craniotomy and assess the efficacy and side effects of the millimeter wave treatment.Methods A total of 32 neurosurgical patients with post-operative subcutaneous fluid collection were involved in this study and divided into traditional and millimeter wave treatment groups randomly. Subcutaneous fluid volume after 3 days,time for complete fluid absorption,time of hospital stay,incidence of related infections and severe headache between two groups were assessed.Results The fluid reduction is 93.8% in the millimeter wave treatment group and 76.5% in the traditional treatment group 3 days after treatment （P0.05）; time for complete fluid absorption was also shorter in the millimeter wave treatment group; there is no infection in the millimeter wave treatment group and 3 cases in the traditional treatment group,millimeter wave treatment also reduced the occurrence of severe post-operative headache; there is no treatment-related side-effects in the millimeter treatment group.Conclusion Millimeter wave treatment is an efficacious and safe method for subcutaneous fluid collection after craniotomy,and can reduce the occurrences of related infections and post-operative pain.