| 摘要: |
| ［摘要］ 目的 观察改良皮下隧道式腰大池引流术在脑肿瘤患者中的应用效果。方法 选择2014年8月至2021年7月广州医科大学附属肿瘤医院神经外科收治的需留置腰大池引流管的脑肿瘤患者80例，随机分为对照组和观察组，每组40例。对照组有2例因失访剔除，最终纳入38例；观察组无剔除。对照组采用常规腰大池引流术，观察组采用改良皮下隧道式腰大池引流术。比较两组穿刺点脑脊液漏、导管移位、非计划拔管及继发性颅内感染等不良事件发生率，并对比两组日均引流量。结果 观察组穿刺点脑脊液漏、导管移位、非计划拔管的发生率均低于对照组，差异有统计学意义（P<0.05）。两组继发性颅内感染发生率比较差异无统计学意义（P>0.05）。两组日均引流量比较差异无统计学意义［（159.07±30.20）ml vs （162.42±32.45）ml；t=0.472，P=0.638］。结论 改良皮下隧道式腰大池引流术的脑脊液引流效果满意，且能显著降低穿刺点脑脊液漏、导管移位及非计划拔管等不良事件的发生风险，操作简便易行，值得临床推广。 |
| 关键词: 改良皮下隧道式腰大池引流术 脑肿瘤 应用效果 |
| DOI：10.3969/j.issn.1674-3806.2022.08.12 |
| 分类号:R 605 |
| 基金项目: |
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| Observation on the application effect of modified subcutaneous tunnel continued lumbar cerebrospinal fluid drainage on brain tumor patients |
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LI Dan, LUO Dong-dong, ZHAO Hai-lin, et al.
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Department of Neurosurgery, Affiliated Cancer Hospital of Guangzhou Medical University, Guangdong 510095, China
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| Abstract: |
| ［Abstract］ Objective To observe the application effect of modified subcutaneous tunnel continued lumbar cerebrospinal fluid drainage on brain tumor patients. Methods Eighty brain tumor patients with indwelling lumbar drainage tubes who were admitted to Department of Neurosurgery, Affiliated Cancer Hospital of Guangzhou Medical University from August 2014 to July 2021 were selected and randomly divided into a control group and an observation group, with 40 cases in each group. Two cases in the control group were excluded due to loss to follow-up, and 38 cases were finally included. No cases were excluded from the observation group. The control group was treated with conventional lumbar drainage, while the observation group was treated with the modified subcutaneous tunnel continued lumbar cerebrospinal fluid drainage. The incidence rates of adverse events such as cerebrospinal fluid leakage at the puncture point, catheter displacement, unplanned extubation and secondary intracranial infection were compared between the two groups, and the average daily drainage volume was compared between the two groups. Results The incidence rates of cerebrospinal fluid leakage at the puncture point, catheter displacement and unplanned extubation in the observation group were lower than those in the control group, and the differences were statistically significant(P<0.05). There was no significant difference in the incidence of secondary intracranial infection between the two groups(P>0.05). There was no significant difference in the average daily drainage volume between the two groups［(159.07±30.20)ml vs (162.42±32.45)ml; t=0.472, P=0.638］. Conclusion The modified subcutaneous tunnel continued lumbar cerebrospinal fluid drainage has satisfactory cerebrospinal fluid drainage effect, and can significantly reduce the risks of adverse events such as cerebrospinal fluid leakage at the puncture point, catheter displacement and unplanned extubation. The operation of this drainage is simple and easy, which is worthy of clinical application. |
| Key words: Modified subcutaneous tunnel continued lumbar cerebrospinal fluid drainage Brain tumor Application effect |
