中华神经外科杂志
中華神經外科雜誌
중화신경외과잡지
Chinese Journal of Neurosurgery
2012年
2期
128-131
,共4页
孙洪涛%吴焕成%兰晓霞%李兆麟%张赛
孫洪濤%吳煥成%蘭曉霞%李兆麟%張賽
손홍도%오환성%란효하%리조린%장새
颅脑创伤%人工硬脑膜%外伤大骨瓣减压术
顱腦創傷%人工硬腦膜%外傷大骨瓣減壓術
로뇌창상%인공경뇌막%외상대골판감압술
Craniocerebral trauma%Artificial dura mater%Large trauma craniotomy
目的 探讨生物型人工硬脑膜在外伤大骨瓣减压术中应用的安全性.方法 通过对试验组(330例)和对照组(222例)患者术后颅内感染、脑脊液漏、癫痫等并发症进行比较,并进行统计学分析,观察两组患者术后并发症的发生率是否具有统计学意义.结果 试验组术后脑脊液漏、颅内感染及癫痫等并发症的发生率均明显低于对照组,而异物反应发生率与对照组比较差异无统计学意义.结论 外伤大骨瓣减压术中应用生物型人工硬脑膜进行减张缝合硬脑膜安全、可行.
目的 探討生物型人工硬腦膜在外傷大骨瓣減壓術中應用的安全性.方法 通過對試驗組(330例)和對照組(222例)患者術後顱內感染、腦脊液漏、癲癇等併髮癥進行比較,併進行統計學分析,觀察兩組患者術後併髮癥的髮生率是否具有統計學意義.結果 試驗組術後腦脊液漏、顱內感染及癲癇等併髮癥的髮生率均明顯低于對照組,而異物反應髮生率與對照組比較差異無統計學意義.結論 外傷大骨瓣減壓術中應用生物型人工硬腦膜進行減張縫閤硬腦膜安全、可行.
목적 탐토생물형인공경뇌막재외상대골판감압술중응용적안전성.방법 통과대시험조(330례)화대조조(222례)환자술후로내감염、뇌척액루、전간등병발증진행비교,병진행통계학분석,관찰량조환자술후병발증적발생솔시부구유통계학의의.결과 시험조술후뇌척액루、로내감염급전간등병발증적발생솔균명현저우대조조,이이물반응발생솔여대조조비교차이무통계학의의.결론 외상대골판감압술중응용생물형인공경뇌막진행감장봉합경뇌막안전、가행.
Objective To investigate the safety of application of biological artificial dura mater in large decompressive craniectomy for the treatment of craniocerebral trauma.Methods The incidence of complications (intracranial infection,cerebrospinal fluid leak,epilepsy,etc.) and foreign - body reaction after the surgery in the experimental group (330 cases ) was compared with that in the control group (222 cases).Results The incidence of intracranial infection,cerebrospinal fluid leak,epilepsy or other complications in the experimental group was significantly lower than that in the control group,while there was no statistically significant difference between the two groups in terms of the incidence of foreign - body reaction.Conclusion It is safe and feasible to use biological artificial dura mater in large trauma craniotomy for relaxation suture and repair of dura mater defects.