神经损伤与功能重建
神經損傷與功能重建
신경손상여공능중건
NEURAL INJURY AND FUNCTIONAL RECONSTRUCTION
2014年
6期
495-497
,共3页
免缝合人工脑膜%急诊%颅脑手术
免縫閤人工腦膜%急診%顱腦手術
면봉합인공뇌막%급진%로뇌수술
artificial dura with suture-free%emergency%craniocerebral surgery
目的：探讨免缝合人工脑膜在急诊颅脑手术中的疗效。方法：回顾性分析我院113例行人工脑膜修补术的急诊颅脑手术患者（免缝合组）与62例以自体筋膜修补脑膜患者（对照组）的疗效和并发症，随访6~12月。结果：对照组治愈45例（72.6%），死亡17例（27.4%）；免缝合组治愈84例（74.3%），死亡29例（25.6%）；2组疗效差异无统计学意义。免缝合组术后癫痫、脑积水、皮瓣下积液发生率明显低于对照组（<0.05）。免缝合组行Ⅱ期颅骨修补术时术中观察可见免缝合人工脑膜已被纤维细胞替代，与周围组织粘连较少，解剖层次清晰。结论：急诊颅脑手术应用免缝合人工脑膜安全有效，可恢复原有解剖层次，显著降低各种并发症，缩短手术时间。
目的：探討免縫閤人工腦膜在急診顱腦手術中的療效。方法：迴顧性分析我院113例行人工腦膜脩補術的急診顱腦手術患者（免縫閤組）與62例以自體觔膜脩補腦膜患者（對照組）的療效和併髮癥，隨訪6~12月。結果：對照組治愈45例（72.6%），死亡17例（27.4%）；免縫閤組治愈84例（74.3%），死亡29例（25.6%）；2組療效差異無統計學意義。免縫閤組術後癲癇、腦積水、皮瓣下積液髮生率明顯低于對照組（<0.05）。免縫閤組行Ⅱ期顱骨脩補術時術中觀察可見免縫閤人工腦膜已被纖維細胞替代，與週圍組織粘連較少，解剖層次清晰。結論：急診顱腦手術應用免縫閤人工腦膜安全有效，可恢複原有解剖層次，顯著降低各種併髮癥，縮短手術時間。
목적：탐토면봉합인공뇌막재급진로뇌수술중적료효。방법：회고성분석아원113례행인공뇌막수보술적급진로뇌수술환자（면봉합조）여62례이자체근막수보뇌막환자（대조조）적료효화병발증，수방6~12월。결과：대조조치유45례（72.6%），사망17례（27.4%）；면봉합조치유84례（74.3%），사망29례（25.6%）；2조료효차이무통계학의의。면봉합조술후전간、뇌적수、피판하적액발생솔명현저우대조조（<0.05）。면봉합조행Ⅱ기로골수보술시술중관찰가견면봉합인공뇌막이피섬유세포체대，여주위조직점련교소，해부층차청석。결론：급진로뇌수술응용면봉합인공뇌막안전유효，가회복원유해부층차，현저강저각충병발증，축단수술시간。
Objective: To study the application of artificial dura with suture-free in emergency craniocerebral surgery. MethodsThe clinical effect and complication of 113 patients with artificial dura in emergency craniocere-bral surgery (suture-free group) and 62 patients of autologous fascia repair (control group) were analyzed retrospec-tively. The patients in the two groups were follow-up for 6~12 months. ResultsIn the control group, 45 cases (72.6%) were cured, 17 cases were dead (27.4%). In the suture-free group, 84 cases (74.3%) were cured and 29 cases were dead (25.6%). There was no statistical significance of the efficacy between the 2 groups. The incidence of epilepsy, hydrocephalus, fluid under the skin flap in the suture-free group were significantly lower than those in the control group. The artificial dura with suture-free was found to be replaced by fibroblasts of the suture-free group in stageⅡcranioplasty, which had low adhesion with the surrounding tissue and anatomy of a clear hierar-chy. ConclusionThe artificial dura with suture-free in emergency craniocerebral surgery help restore the original anatomical level and reduce complications significantly to shorten the operation time.
