Ommaya Reservoir Has Intracranial Infection With Hydrocephalus After Craniocerebral Surgery Clinical Application In Treatment

Objective: With the continuous progress of neurosurgical technology,the complications after craniocerebral surgery have been reduced,but intracranial infection combined with hydrocephalus after craniocerebral surgery is still a worldwide problem.Traditional methods of lumbar puncture or lumbocisternal catheterization,intrathecal injection of antibiotics combined with cerebrospinal fluid drainage have many contraindications and more adverse reactions in treatment,leading to poor prognosis.Therefore,this topic intends to explore the advantages and disadvantages of intraventricular antibiotic injection combined with cerebrospinal fluid drainage after Ommaya reservoir implantation,in order to provide reference and help for clinical treatment of intracranial infection combined with hydrocephalus.Methods: In this retrospective study,patients with intracranial infection and hydrocephalus who underwent craniocerebral surgery in the Neurosurgery Department of the First Hospital of Yulin City and the Second Affiliated Hospital of Yan ’an University from October 2017 to October 2022 were collected,and the inclusion and exclusion criteria were strictly controlled.Finally,40 cases were included in the experimental study,including 20 cases in the Ommaya reservoir group and 20 cases in the lumbar Dachii group.The anti-infective efficacy,time of infection control,adverse reaction rate,shunt time for hydrocephalus(the time between admission treatment and shunt),hydrocephalus cure rate and shunt rate,and effective prognosis rate after 3 months(effective: Glasgow prognosis score 3,4,5)were compared.Results: 1.There were no significant differences in gender,age,intracranial pressure,Glasgow Coma Scale(GCS),Evans ratio and cerebrospinal fluid(white blood cells,glucose,protein)between the two groups(P>0.05).2.It was found that the significant efficiency of Ommaya reservoir group was90.00%,and that of lumbar pool group was 50.00%,and there was significant statistical significance in the efficacy of the two groups(P < 0.05).In the Ommaya reservoir group,the infection control time was(11.53±3.01)days,the adverse reaction rate was 10.00%(2 cases of low craniopressure syndrome),the hydrocephalus cure rate was 30.00%,the shtary time of hydrocephalus was(34.00±6.45)days,and the effective prognosis rate was85.00%.Waidachi Formation: The infection control time was(14.24±4.01)days,the adverse reaction rate was 50.00%(poor drainage in 2 cases,cerebral hernia in 1 case,lower limb numbness in 3 cases,reinfection in 2 cases,and hypocranial pressure syndrome in 2 cases),the hydrocephalus cure rate was 0.00%,the hydrocephalus shtary time was(43.71±7.54)days,and the effective prognosis rate was 55.00%.There was significant statistical significance in the above data between the two groups(P < 0.05).3.The hydrocephalus drainage rate was 60.00% in Ommaya reservoir group and75.00% in lumbocius group,and there was no significant difference between the two groups(P > 0.05).Conclusion: Compared with the lumbocidium group,the advantages of Ommaya reservoir group were as follows: the early anti-infection effect was better,the infection control time was advanced,the adverse reaction rate was reduced,the cure rate of hydrocephalus was increased,the time to be shunted for hydrocephalus was advanced and the effective prognosis rate was improved.When neurosurgery is faced with intracranial infection complicated by hydrocephalus after craniocerebral operation,Ommaya reservoir implantation has many advantages and is worthy of clinical promotion.