摘要
目的对比腰大池置管持续外引流术置管方向不同出现并发症的机率大小。方法将46例颅内感染患者平均分为A、B两组,利用Medtronic体外引流及监测系统进行腰大池置管持续外引流术。A组采用置管时引流管进入蛛网膜下腔后管头向头部放置;B组采用置管时引流管进入蛛网膜下腔后管头向骶部侧放置。比较两组出现堵管和神经根刺激症状的不同。结果 A组较B组术后出现堵管和神经根刺激症状的例数均较多,堵管及神经根刺激症状差异有统计学意义(P<0.05)。结论腰大池置管持续外引流术置管时导管向骶部侧放置引起堵管及神经根刺激症状的机率较导管向头部放置小,故推荐置管时采用管头向骶部放置。
【Objective】 To compare the probability of complications in continuous lumbar drainage with catheters placing in different directions. 【Methods】 A total of 46 cases with intracranial infection were divided into groups A and B. Medtronic drainage and monitoring system were used for continuous lumbar external drainage. In the group A the drainage catheters were placed into the subarachnoid space toward the head,while in the group B they were towards the rear side of the sacra. The differences in the blockage of the tubes and symptoms of nerve root irritation were compared between both groups. 【Results】 There were more cases with blocked catheters and nerve root irritation symptoms in the group A than in the group B, the differences were statistically significant（P〈0.05）.【Conclusion】 There are lower probabilities of catheter blockage and nerve root irritation using continuous lumbar drainage system when the catheters are placed into the subarachnoid space towards the rear side of the sacra, so it is recommended that the catheters are placed towards the sacra.
出处
《中国现代医学杂志》
CAS
北大核心
2015年第27期96-98,共3页
China Journal of Modern Medicine
关键词
腰大池引流
置管方向
颅内感染
堵管
神经根刺激症状
continuous lumbar drainage
direction of tube
complication
catheter blockage
nerve root irritation
