神经外科开颅术后不放置皮下引流管的可行性研究

Study on the Feasibility of Not Placing Subcutaneous Drainage Tube after Craniotomy in Neurosurgery

目的探讨神经外科开颅术后不放置皮下引流管的可行性。方法回顾性分析2018年10月至2019年4月在西京医院神经外科一病区收治的92例行开颅手术患者,分为48例常规放置引流管组(引流组)和44例不放置引流管组(未置组),比较两组病例观察指标并进行统计学分析。结果未置组的住院时间比引流组的短,下床活动时间比引流组的早,两组皮下积液、脑脊液漏、颅内出血、颅内感染、癫痫的发生率差异无统计学意义。结论神经外科开颅术后不放置皮下引流管安全可行,可提高患者就诊体验,加速患者术后早期康复。

Objective To explore the feasibility of not placing subcutaneous drainage tube after cranio tomy in neurosurgery.Methods A retrospective analysis was made of 92 patients undergoing craniotomy admitted to Neurosurgery Ward 1 of Xijing Hospital from October 2018 to April 2019,they were divided into 48 cases of routine placement of drainage tube group(drainage group)and 44 cases of non-placement of drainage tube group(non-placement group).Observation indexes of the two groups were compared and statistically analyzed.Results The hospitalization time of the non-placement group was shorter than that of the drainage group,the time of getting out of bed was earlier than that of the drainage group,there was no signifi cant diff erence in the incidence of subcutaneous eff usion,cerebrospinal fl uid leakage,intracranial hemorrhage,intracranial infection and epilepsy between the two groups.Conclusion No subcutaneous drainage tube after craniotomy in neurosurgery is safe and feasible.It can improve patients'experience of seeking medical treatment and accelerate patients'early postoperative recovery.