Analysis on effect of vacuum sealing drainage combined with routine debridement in treatment of frontal sinusitis after craniotomy
10.3969/j.issn.1671-8348.2017.17.024
- VernacularTitle:负压封闭持续引流联合常规清创治疗开颅术后额窦炎的疗效分析
- Author:
Yihua ZHANG
;
Hao WANG
;
Guangjian SHEN
;
Lunshan XU
;
Minhui XU
- Keywords:
frontal sinusitis;
after craniotomy;
vacuum sealing drainage;
pedicled periosteal flap
- From:
Chongqing Medicine
2017;46(17):2381-2382,2385
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical effect of using uninterrupted vacuum sealing drainage combined with routine debridement and pedicled periosteal flap sealing frontal sinusitis in treating frontal sinusitis after craniotomy.Methods The clinical data in 31 cases of frontal sinusitis after craniotomy in our hospital from January 2006 to December 2014 were retrospectively analyzed.Seventeen cases adopted simple debridement and drainage treatment and 14 cases were treated with continuous vacuum sealing drainage combined with routine debridement treatment.Postoperative follow up lasted over 1 year.Results In simple debridement and drainage,12 cases were cured,the other 5 cases recurred after operation,and the cure rate was 70.6 ％.But in the continuous vacuum sealing drainage combined with routine debridement treatment,14 cases were cured,no case recurred after operation,and the cure rate was 100％.Therefore,the cure rate of continuous vacuum sealing drainage treatment combined with routine debridement was higher than that of simple debridement and drainage treatment(P＜0.05).Conclusion Adopting vacuum sealing drainage combined with routine debridement and pedicled periosteal flap sealing frontal sinusitis can promote the infection focus clearance and wound healing,and increases the cure rate.
