后颅窝手术后颈枕部局部积液15例防治分析

目的:探讨后颅窝手术后颈枕部局部积液的预防和治疗。方法:对15例后颅窝术后出现颈枕部积液患者的临床资料进行回顾性分析。15例患者均在颈枕部积液腔留置外引流管,其中5例通过放置外引流管积液消失;10例在单纯放置外引流管无效后联合放置腰大池外引流,6例积液消失,4例最终进行二次手术。结果:经治疗,15例患者无发热、头痛等临床症状,颈枕部局部积液消失。结论:术中认真仔细操作是减少积液发生的关键,对于出现积液的患者,联合多种方法进行治疗,可以取得良好效果。

The prevention and treatment of neck occipital effusion after posterior fossa operation in 15 cases

Objective：To explore the prevention and treatment of neck occipital effusion after posterior fossa operation. Methods：The clinical data of 15 cases with neck occipital effusion after posterior fossa operation were retrospectively analyzed. The drainage tube was indwelled in neck occipital effusion cavity of 15 patients. Effusion in 5 cases disappeared. External drainage of lumbar cistern were used in 10 cases with invalid drainage tube, effusion disappearing in 5 cases were found and 4 cases were treated with sutura primosecundaria. Results：After treatment, no mild fever, headache symptoms and neck occipital effusion were found in 15 patients. Conclusions ： Careful operation is the key to reduce effusion. A variety of treatment methods must be implemented for effusion patients, which can obtain good effects.