HAIR AND NEUROSURGERY
HAIR AND NEUROSURGERY
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DOI：
10.1227/00006123-199208000-00018
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发表时间：
1992-08-01
期刊：
影响因子：
4.8
通讯作者：
WINSTON, KR
中科院分区：
文献类型：
--
作者：
WINSTON, KR
详细讨论了为神经外科手术做准备而脱毛的价值。本报告的基础是一位神经外科医生在连续 40 个月内对 638 个前瞻性检查的连续病例进行的系列分析。总体手术伤口感染率为1.1%。 313例颅脑病例的感染率为0.3%，218例涉及脑脊液分流术的手术感染率为2.8%。这些数据在广泛的非神经外科和微生物学文献的背景下进行了讨论。结论是，通过剃毛去除毛发并不能降低手术伤口感染的风险，反而可能会增加风险。讨论了为神经外科手术准备皮肤和头发以及在神经外科手术过程中管理头发的技术。
THE VALUE OF removing hair in preparation for neurosurgery is addressed in detail. One neurosurgeon's series, accrued over 40 consecutive months, of 638 prospectively examined, consecutive cases is the basis of this report. The overall surgical wound infection rate was 1.1%. The infection rate for the 313 cranial cases was 0.3% and 2.8% for the 218 procedures involving cerebrospinal fluid diversion (shunts). These data are discussed in the context of extensive nonneurosurgical and microbiological literature. It is concluded that the removal of hair by shaving does not lower the risk of surgical wound infection and may increase the risk. A technique for preparing skin and hair for neurosurgery and for the management of hair during neurosurgical procedures is discussed.