Neurological Surgery 脳神経外科50巻5号

2022年09月発行

特集 感染症—脳神経外科医のためのエッセンス Ⅱ脳神経外科領域におけるSSIとその予防・対策

頭蓋底外科領域におけるSSIとその予防・対策

著者： 小泉慎一郎¹ 黒住和彦¹

所属機関： ¹浜松医科大学脳神経外科

ページ範囲：P.1017 - P.1026

Point
・頭蓋底手術は準清潔手術になる場合も少なくなく，必要に応じた適切な対処方法を正しく理解し，遂行することで重大な合併症を防ぐことができる．
・前頭洞が開放される開頭術では，硬膜の確実な修復による髄液漏の阻止と，前頭洞の閉鎖がSSIを軽減する．
・経鼻内視鏡手術において髄液漏はSSIの危険因子であり，確実な鞍底再建による術後髄液漏の防止がSSIを軽減する．

参考文献

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