脑深部电刺激中的感染：剃须与不剃须
Infections in deep brain stimulation: Shaving versus not shaving.
作者信息
Gubler Felix S, Ackermans Linda, Kubben Pieter L, Damci Aysun, Kuijf Mark L, Oosterloo Mayke, Vermeulen R Jeroen, Hescham Sarah, Kocabicak Ersoy, Kurt Erkan, Temel Yasin
机构信息
Department of Neurosurgery, Maastricht University Medical Center +, Maastricht, The Netherlands.
Department of Neurology, Maastricht University Medical Center +, Maastricht, The Netherlands.
出版信息
Surg Neurol Int. 2017 Oct 10;8:249. doi: 10.4103/sni.sni_172_17. eCollection 2017.
BACKGROUND
To report our experience of infections in deep brain stimulation (DBS) surgeries comparing shaving versus no shaving of cranial hair. Nonshaving is strongly preferred by patients due to aesthetic and psychological factors.
METHODS
This study is a prospective follow-up of the infection rate in 43 nonshaven DBS cases between April 2014 and December 2015 compared to our former infection rate with shaving in our center. Minimum follow-up was 6 months. All patients, except 7 epilepsy patients, received implantation of the electrodes together with the extension cables and internal pulse generator in one session.
RESULTS
In 43 nonshaven patients, a total of 81 electrodes were implanted or revised with a mean follow-up of 16 months. One patient (2.32%) developed an infection of the implanted DBS-hardware and was treated with antibiotics.
CONCLUSION
In our experience nonshaving of cranial hair in DBS surgery does not lead to more infections when compared to shaving. We have changed our protocol to nonshaving based on these findings.
背景
报告我们在脑深部电刺激（DBS）手术中比较剃发与不剃发时感染情况的经验。由于美学和心理因素，患者强烈倾向于不剃发。
方法
本研究对2014年4月至2015年12月期间43例未剃发的DBS病例的感染率进行前瞻性随访，并与我们中心之前剃发时的感染率进行比较。最短随访时间为6个月。除7例癫痫患者外，所有患者均在一次手术中植入电极以及延长电缆和植入式脉冲发生器。
结果
43例未剃发患者共植入或修正81根电极，平均随访16个月。1例患者（2.32%）发生植入的DBS硬件感染，接受了抗生素治疗。
结论
根据我们的经验，与剃发相比，DBS手术中不剃发不会导致更多感染。基于这些发现，我们已将方案改为不剃发。
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