CAJ | 학술논문

后颅窝骨瓣开颅、深部肌群分层缝合技术在枕下乙状窦后入路手术中的应用
후로와골판개로、심부기군분층봉합기술재침하을상두후입로수술중적응용
Craniotomy for posterior fossa and deep muscles incision and suture technique in suboccipital retrosigmoidal approach

万方数据

中华神经医学杂志中華神經醫學雜誌 중화신경의학잡지
CHINESE JOURNAL OF NEUROMEDICINE
2009年 11期 1159-1161 ,共3页

陈先震%楼美清%卢亦成%丁学华%候立军%韩唏%胡国汉%骆纯%白如林%赵耀东

진선진%루미청%로역성%정학화%후립군%한희%호국한%락순%백여림%조요동

后颅窝%桥脑小脑角%骨瓣开颅後顱窩%橋腦小腦角%骨瓣開顱
후로와%교뇌소뇌각%골판개로
Posterior fossa%Cerebello-pontine angle%Craniotomy flap

目的探讨枕下乙状窦后人路骨瓣开颅和复位,后颅窝深部肌群分层切开、缝合术的手术方法及临床应用. 方法上海市第十人民医院神经外科自2003年5月至2005年5月应用枕下乙状窦后入路骨瓣开颅、深部肌群分层切开缝合术治疗40例桥脑小脑角区肿瘤患者,对其临床资料进行同顾性分析.结果骨瓣开颅均顺利完成,手术视野良好,平均用时40～70min;2例患者术后出现皮下积液,无脑脊液漏发生,多数患者数后第6天头部即可自由活动.结论经枕下乙状窦后入路骨瓣开颅、深部肌群分层缝合技术安全、快捷,可降低术后脑脊液漏、假性脑膨出的发生,并可使头部早期恢复自由活动.
목적 탐토침하을상두후인로골판개로화복위,후로와심부기군분층절개、봉합술적수술방법급림상응용. 방법상해시제십인민의원신경외과자2003년5월지2005년5월응용침하을상두후입로골판개로、심부기군분층절개봉합술치료40례교뇌소뇌각구종류환자,대기림상자료진행동고성분석.결과 골판개로균순리완성,수술시야량호,평균용시40～70min;2례환자술후출현피하적액,무뇌척액루발생,다수환자수후제6천두부즉가자유활동.결론경침하을상두후입로골판개로、심부기군분층봉합기술안전、쾌첩,가강저술후뇌척액루、가성뇌팽출적발생,병가사두부조기회복자유활동.
Objective To probe the technical processes of the suboccipital retrosigmoidal craniotomy with replacement of bone flap and deep muscles incision and suture and its clinical application. Methods The data of 40 patients undergoing suboccipital craniotomy to the cerehello-pontine angle lesions, deep muscles incision and suture in our hospital from May, 2003 to May, 2005 were analyzed retrospectively. Results All the procedures of craniotomy including removal of the bone flap, deep muscles incision and suture were accomplished safely with an average operation time of 40-60 min. Two patients appeared post-operative subcutaneous hydrops without CSF leakage and the majority can move their head freely sixth day after the operation. Conclusion Suboccipital retrosigmoidal craniotomy with replacement of bone flap, and deep muscles incision and suture, being a safe and feasible method, may decrease the happening of postoperative CSF leakage and encephalocele, and accelerate the recover of head movement.