开颅手术中两种额窦处理方法的效果比较

Efficacy comparison of two methods for frontal sinus in craniotomy

目的比较开颅手术中两种方法封闭额窦的效果。方法回顾性分析189例术中额窦开放病人的临床资料。对照组85例病人接受标准额窦关闭法封闭额窦,观察组104例病人接受自体带蒂骨膜封闭额窦。通过比较病人术后脑脊液漏、额窦炎以及颅内感染的发生率,评估两种方法处理术中额窦开放的效果。结果观察组病人术后颅内感染及额窦炎的发生率分别为1.92%、2.88%,明显低于对照组12.94%、11.76%,差异均具有统计学意义(P=0.003、0.016)。对照组病人术后出现脑脊液漏的发生率为2.35%,观察组术后脑脊液漏发生率为0,二者差异无统计学意义(P=0.201)。结论自体带蒂骨膜封闭额窦是一种快速、有效、可靠的封闭额窦方法。

Objective To compare the efficacy of two methods for closing the frontal sinus（FS） in craniotomy.Methods Clinical data of 189 patients with opened FS in craniotomy were analyzed retrospectively.The patients were divided into two groups.The standard method was used to close the opened FS in 85 patients of control group and autologous pedicle periosteum for 104 patients in observation group.The incidences of intracranial infection,frontal sinusitis and cerebrospinal fluid（CSF） leakage were compared to evaluate the effect of two methods.Results The incidences of intracranial infection and frontal sinusitis were 1.92% and 2.88%respectively in observation group,which were significantly lower than those in control group（12.94%,11.76%）.The differences in intracranial infection and frontal sinusitis between the two groups were statistically significant（P = 0.003,0.016）.The incidence of CSF leakage was 2.35% in control group and 0 in observation group.There was no difference in CSF leakage between the two groups（P =0.201）.Conclusion It is a quick,effective and reliable method to close the opened FS with autologous pedicle periosteum in craniotomy.