对U形切口的两种持续性闭合技术的比较评估:密封效果与特定部位的感染风险
Yu Wang1,2, Chang-Zhi Zhao3, Kai-Long Zhang1,2
1Xuzhou Clinical School of Xuzhou Medical University, Xuzhou, China.
Frontiers in surgery
|January 28, 2026
概括
直接和围辅助的接有效地防止脑脊液 (CSF) 从持续切口中泄漏. 然而,骨辅助修复会增加骨下部区域的感染风险,因此需要仔细考虑后部腔手术.
科学领域:
- 神经外科 神经外科
- 手术技巧 手术技巧
- 长期维修 长期维修
背景情况:
- 在神经外科手术中,U形长部切口是常见的.
- 有效的持续关闭对于防止脑脊液 (CSF) 泄漏和感染至关重要.
- 对比接技术对于优化患者的治疗结果至关重要.
研究的目的:
- 为了比较直接 suturing (方法1) 与围辅助 suturing (方法2) 的U形长度切口.
- 为了评估脑脊髓泄漏率和手术后感染率的特定地点差异.
- 评估每个方法在顶腔外科和下腔外科手术场所的疗效和安全性.
主要方法:
- 对172名患者进行了回顾性队列研究,这些患者正在修复U形持续切口.
- 患者被分为直接 suturing (n=94) 和围辅助 suturing (n=78) 组.
- 分析的结果包括脑脊液泄漏率和术后感染率,以及按手术部位分组分析.
主要成果:
- 无论手术地点如何,CSF泄漏的发生率都很低,并且在两种方法之间都是可比的.
- 围辅助 suturing (方法2) 显示,相比于 supratentorial手术 (23.33%对6.25%,P=0.039) 的infratentorial区的整体感染率显著更高.
- 切口感染/延迟愈合是使用方法2的内膜组感染增加的主要驱动因素.
结论:
- 直接和骨辅助接都能有效地防止CSF从U形长度切口中泄漏.
- 围辅助技术与在骨下部的切口相关感染的风险增加有关.
- 临床决策应权衡皮辅助修复的密封益处与其特定部位的感染风险,特别是在后腔手术中.
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