【摘要】 目的分析后颅窝肿瘤术后皮下积液的原因,并探讨其防治措施。方法回顾性分析17例后颅窝肿瘤术后并发皮下积液患者的临床资料。结果17例患者均经保守治愈,其中3例经穿刺加压包扎治愈,2例并发脑积水者经脑室—腹腔分流术后积液腔穿刺加压包扎治愈,12例经穿刺加压包扎+腰椎穿刺持续引流治愈,无1例再次打开切口手术处理。结论术中硬膜、枕下肌肉层和皮下组织缝合不严密及局部遗留死腔是皮下积液形成的主要原因,积液腔穿刺加压包扎+腰椎穿刺持续引流效果肯定。更多还原

【Abstract】 Objective To analyze the causes of scalp hydrops following operation on tumor in posterior fossa and discuss how to prevent and cure it. Methods We reviewed retrospectively the clinical data of 17 patients who had scalp hydrops after removal of tumor in posterior fossa. Results All patients were cured conservatively,of whom 3 cases were cured via puncture,pressure and binding,2 cases with hydrocephalus were cured by pressure and binding after ventriculo-peritoneal shunt,other 12 cases were cured by pressure and binding and continuous drainage of cerebrospinal fluid through lumber puncture.None of all patients were needed to be cut open again. Conclusion Dural,suboccipital muscle layers and subcutaneous tissues are not sewed closely and left lacunas during operation are the main reasons of scalp hydrops.The effect of pressure and binding after puncture scalp hydrops plus continuous drainage of cerebrospinal fluid through lumber puncture is positive.更多还原