Puzzilli F, Mastronardi L, Farah J O, Ruggeri A, Lunardi P
University of Rome La Sapienza, Department of Neurological Sciences, Neurosurgery II, Italy.
Neurosurg Rev. 1998;21(4):237-42. doi: 10.1007/BF01105778.
A study was performed to evaluate the efficacy of closed continuous drainage (CCD) via a lumbar subarachnoid catheter for prevention or treatment of CSF fistulas. In addition to the analysis of the physical, chemical and biological properties of the CSF obtained, the catheters themselves were tested on removal to identify any microorganisms contaminating them. Other factors taken into consideration were the symptoms reported by the patients during positioning of the catheter and while it was in place, any variations in body temperature and local inflammatory effects on the nerve roots of the cauda equine and surrounding tissues. The low percentage of systemic and local infections observed testifies to the safety of this method, regardless of the duration of treatment.
进行了一项研究，以评估通过腰椎蛛网膜下腔导管进行封闭持续引流（CCD）预防或治疗脑脊液漏的疗效。除了分析所获取脑脊液的物理、化学和生物学特性外，还在拔除导管时对导管本身进行检测，以识别污染它们的任何微生物。其他考虑因素包括患者在放置导管期间及导管留置期间报告的症状、体温的任何变化以及对马尾神经根和周围组织的局部炎症影响。观察到的全身和局部感染的低发生率证明了该方法的安全性，无论治疗持续时间如何。
