Observation of clinical efficacy of lumbar continuous drainage of fluid on prevention and treatment postoperative complications of Chiari malformation typeⅠ

Objective To observe the preventive treatment results after cistern magna reconstruction of patients with Chiari malformation typeⅠwhen prophylactic lumbar continuous drainage of fluid (LCDF) was applied in the first postoperation day. Methods Sixty-five cases who were diagnosed as CMI and all underwent cisterna magna reconstruction admitted to Neurosurgery Third Department of Chinese PLA General Hospital from January 2012 to December 2012 were randomly selected. According to whether LCDF was applied in the first postoperation day, they were randomly divided into two groups:prophylactic LCDF group (n=35) and observation group (n=30). The former did prophylactic LCDF, and the latter did not do that. Wound healing situation, the number of fever cases, cerebrospinal fl uid (CSF) leukocyte count and length of stay were observed and compared between two groups. Then SPSS 13.0 statistical software was applied to analyze data. Results Compared the observed indicators in two groups, there was no statistically significant difference in number of fever cases and poor wound healing cases (Former:1 and 5 cases; Latter:0 and 3 cases; P=0.073 and 0.083, respectively), P> 0.05; while the average length of hospital stay and CSF leukocyte count had statistically significant difference (Former:(8.362±2.256) and (15.394±1.615) days; Latter:(6.967±0.552)×10⁶/L and(226.703±9.326)×10⁶/L; P=0.000 and 0.024, respectively), P< 0.05. Conclusion There is a certain clinical efficacy if CMI patients underwent cisterna magna reconstruction and applied prophylactic LCDF treatment in the first postoperative day, and it also could shorten hospital stay time, prevent and control postoperative CSF infection.