CAJ | 학술논문

目的：探讨创伤性前颅底粉碎性骨折合并颅底硬脑膜破损的临床特点，并对治疗方法进行分析。方法回顾性分析2005年5月～2014年3月的27例创伤性前颅底粉碎性骨折合并颅底硬脑膜破损的临床资料、治疗方法及随访结果。结果25例术后近期未发现脑脊液瘘，2例术后早期有脑脊液鼻漏，经腰大池置管等…保守治疗，脑脊液漏停止。24例神志清醒，1例因多脏器功能衰竭，于术后2月死亡，2例术后呈植物生存状态。结论对前颅底粉碎性骨折合并颅底硬脑膜破损手术治疗的关键是一定要行颅底膜性重建，对脑脊液漏及时、恰当的处理，并做好脑部清创，清除可能引起颅内感染的因素，同时要兼顾功能与整容…的目的。
목적：탐토창상성전로저분쇄성골절합병로저경뇌막파손적림상특점，병대치료방법진행분석。방법회고성분석2005년5월～2014년3월적27례창상성전로저분쇄성골절합병로저경뇌막파손적림상자료、치료방법급수방결과。결과25례술후근기미발현뇌척액루，2례술후조기유뇌척액비루，경요대지치관등…보수치료，뇌척액루정지。24례신지청성，1례인다장기공능쇠갈，우술후2월사망，2례술후정식물생존상태。결론대전로저분쇄성골절합병로저경뇌막파손수술치료적관건시일정요행로저막성중건，대뇌척액루급시、흡당적처리，병주호뇌부청창，청제가능인기로내감염적인소，동시요겸고공능여정용…적목적。
Objective To analyse the clinical features of the dura bone defect repair of the former skull base comminuted fracture and the dura mater of the skull base damage. Methods 27 patients who had been treated in our hospital from May 2005 to March 2014 for the former skull base comminuted fracture and the dura mater of the skull base damage were selected as research objects. Clinical data, therapeutic method and follow-up results were retrospective analysed. Results 2 patients occurred cerebrospinal fiuid rhinorrhea, and were relieved after conservative medical therapy. 24 patients were conscious, 1 patient died after surgery, and 2 became human vegetable. Conclusion The dura bone defect repair on patients with former skull base comminuted fracture and the dura mater of the skull base damage is important. It is worth of being popularized clinically.